MEDICARE: INFINITY INTERNATIONAL GROUP OF AMERICA

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	:	1518436583
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	INFINITY INTERNATIONAL GROUP OF AMERICA

Provider Business Mailing Address
First Line	:	PO BOX 4808
Second Line	:
City	:	DOWNEY
State	:	CA
Zip	:	90241-1808
Country	:	US
Telephone Number	:	562-222-4855
Fax Number	:

Provider Business Practice Location Address
First Line	:	1509 W PICO BLVD
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90015-2407
Country	:	US
Telephone Number	:	562-222-4855
Fax Number	:

Authorized Official
Title or Position	:	MANAGING DIRECTOR
Name	:	ISMAEL FRANCISCO
Credential	:
Telephone Number	:	562-243-5158

Provider Enumeration Date	:	11/19/2018
Last Update Date	:	11/19/2018

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Directions to “INFINITY INTERNATIONAL GROUP OF AMERICA ” Practice Location

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