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NPI Code Detail

MEDICARE: ECONOMY TRANSPORT LLC

MEDICARE: ECONOMY TRANSPORT 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)CPUC-TCP-0013690-PCA

General Provider Information

NPI Number : 1770748337
Entity Type Code : Organization
Provider Name (Legal Business Name) : ECONOMY TRANSPORT LLC
Provider Business Mailing Address
First Line : 8726 S SEPULVEDA BLVD
Second Line : #2431
City : LOS ANGELES
State : CA
Zip : 90045-4014
Country : US
Telephone Number : 888-588-6777
Fax Number : 888-270-4842
Provider Business Practice Location Address
First Line : 3521 LOMITA BLVD STE 102
Second Line :
City : TORRANCE
State : CA
Zip : 90505-5041
Country : US
Telephone Number : 888-588-6777
Fax Number : 888-270-4842
Authorized Official
Title or Position : MANAGING MEMBER
Name : MARLENE C JENKINS
Credential :
Telephone Number : 888-588-6777
Provider Enumeration Date : 07/23/2008
Last Update Date : 07/23/2008

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Directions to “ECONOMY TRANSPORT LLC ” Practice Location

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