MEDICARE: BLES-SED LOVE 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
1	343900000X	Non-emergency Medical Transport (VAN)

General Provider Information

NPI Number	:	1972251015
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BLES-SED LOVE INC

Provider Business Mailing Address
First Line	:	1404 W VERNON AVE
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90062-1814
Country	:	US
Telephone Number	:	323-365-2605
Fax Number	:

Provider Business Practice Location Address
First Line	:	1404 W VERNON AVE
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90062-1814
Country	:	US
Telephone Number	:	323-365-2605
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	PRAXEEDES R GARCIA
Credential	:
Telephone Number	:	323-365-2605

Provider Enumeration Date	:	03/17/2022
Last Update Date	:	03/17/2022

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Directions to “BLES-SED LOVE INC ” Practice Location

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