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Organization

PHOENIX COLLECTIVE LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LORENA PADILLA (OWNER)
(559) 389-8208
Entity
Organization

Contact information

Practice address
2000 4TH ST, ATWATER, CA 95301-3617
(559) 389-8208
Mailing address
2000 4TH ST, ATWATER, CA 95301-3617
(559) 389-8208

Taxonomy

Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary

Other

Enumeration date
06/08/2026
Last updated
06/08/2026
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