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NPI Code Detail

MEDICARE: AUTUMN WIND PARATRANSIT INC

MEDICARE: AUTUMN WIND PARATRANSIT INC
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 : 1659606671
Entity Type Code : Organization
Provider Name (Legal Business Name) : AUTUMN WIND PARATRANSIT INC
Provider Business Mailing Address
First Line : 22338 HARBOR RIDGE LN
Second Line : 6
City : TORRANCE
State : CA
Zip : 90502-2434
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 22338 HARBOR RIDGE LN
Second Line : 6
City : TORRANCE
State : CA
Zip : 90502-2434
Country : US
Telephone Number : 323-449-9013
Fax Number :
Authorized Official
Title or Position : SECRETARY
Name : MR. KEVIN SMITH
Credential :
Telephone Number : 323-449-9013
Provider Enumeration Date : 10/08/2009
Last Update Date : 04/15/2011

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Directions to “AUTUMN WIND PARATRANSIT INC ” Practice Location

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