| NPI | 1114204138 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSE YNIGO SULLER VILLANUEVA CEO 626-643-1016 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) |
| Enumeration Date | 2011-11-03 |
| Last Update Date | 2011-11-03 |