MEDICARE: DESWAY CORPORATION

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	343900000X	Non-emergency Medical Transport (VAN)

General Provider Information

NPI Number	:	1184560294
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DESWAY CORPORATION

Provider Business Mailing Address
First Line	:	236 S LOS ANGELES ST APT 523
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90012-3785
Country	:	US
Telephone Number	:	323-901-2393
Fax Number	:

Provider Business Practice Location Address
First Line	:	236 S LOS ANGELES ST APT 523
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90012-3785
Country	:	US
Telephone Number	:	323-901-2393
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	ANGELICA MANALO
Credential	:
Telephone Number	:	323-901-2393

Provider Enumeration Date	:	04/28/2026
Last Update Date	:	04/28/2026

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Directions to “DESWAY CORPORATION ” Practice Location

Language	Start Address	Practice Location

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