Individual
M ALVY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3217 CARSON ST, LAKEWOOD, CA 90712-4006
(310) 613-1145
Mailing address
3217 CARSON ST, LAKEWOOD, CA 90712-4006
(310) 613-1145
Taxonomy
Speciality
Code
Description
License number
State
342000000X
Transportation Network Company
—
—
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
347C00000X
Private Vehicle
—
—
347E00000X
Transportation Broker
—
—
Other
Enumeration date
05/28/2026
Last updated
05/28/2026
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