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NPI Code Detail

MEDICARE: BLUECROSS TRANSPORTATION LLC

MEDICARE: BLUECROSS 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
1347E00000XTransportation Broker

General Provider Information

NPI Number : 1871420455
Entity Type Code : Organization
Provider Name (Legal Business Name) : BLUECROSS TRANSPORTATION LLC
Provider Business Mailing Address
First Line : 1207 N LA BREA AVE
Second Line :
City : INGLEWOOD
State : CA
Zip : 90302-1214
Country : US
Telephone Number : 929-225-5784
Fax Number :
Provider Business Practice Location Address
First Line : 1207 N LA BREA AVE
Second Line :
City : INGLEWOOD
State : CA
Zip : 90302-1214
Country : US
Telephone Number : 929-225-5784
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : RAPHEAL ADENIYI OLANIPEKUN
Credential :
Telephone Number : 929-225-5784
Provider Enumeration Date : 05/06/2026
Last Update Date : 05/06/2026

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Directions to “BLUECROSS TRANSPORTATION LLC ” Practice Location

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