| NPI | 1063039071 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEONILA V TABAQUIN-JORDAN Owner 714-786-4539 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) |
| Enumeration Date | 2020-06-25 |
| Last Update Date | 2020-06-27 |