| NPI | 1699031732 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MULETA F BITEW General Manager 310-755-5042 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) |
| Enumeration Date | 2012-04-03 |
| Last Update Date | 2013-03-19 |