Organization
17TH DISTRICT INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RASHAD SCROGGINS (CEO)
(323) 517-3178
Entity
Organization
Contact information
Practice address
3575 CAHUENGA BLVD W, LOS ANGELES, CA 90068-1366
(323) 517-3178
Mailing address
13547 VENTURA BLVD # 232, SHERMAN OAKS, CA 91423-3825
(323) 517-3178
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
347C00000X
Private Vehicle
—
—
Other
Enumeration date
06/06/2022
Last updated
06/06/2022
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