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NPI Code Detail

MEDICARE: CAMELOT TRANSPORTATION LLC

MEDICARE: CAMELOT TRANSPORTATION LLC
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
1343900000XNon-emergency Medical Transport (VAN)

General Provider Information

NPI Number : 1558820068
Entity Type Code : Organization
Provider Name (Legal Business Name) : CAMELOT TRANSPORTATION LLC
Provider Business Mailing Address
First Line : 28202 CABOT RD STE 300
Second Line :
City : LAGUNA NIGUEL
State : CA
Zip : 92677-1249
Country : US
Telephone Number : 614-769-7785
Fax Number :
Provider Business Practice Location Address
First Line : 28202 CABOT RD STE 300
Second Line :
City : LAGUNA NIGUEL
State : CA
Zip : 92677-1249
Country : US
Telephone Number : 614-769-7785
Fax Number :
Authorized Official
Title or Position : DIRECTOR
Name : OSIZEMETE OKPETU
Credential :
Telephone Number : 614-769-7785
Provider Enumeration Date : 03/14/2019
Last Update Date : 07/06/2019

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Directions to “CAMELOT TRANSPORTATION LLC ” Practice Location

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