Organization
TLC COURTESY COACH, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROLANDO REYES MALAPAYA (MANAGER)
(714) 448-5723
Entity
Organization
Contact information
Practice address
11652 KNOTT ST STE 4, GARDEN GROVE, CA 92841-1821
(714) 891-2298
Mailing address
11652 KNOTT ST STE 4, GARDEN GROVE, CA 92841-1821
(714) 891-2298
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
ZZZ79459Z
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZZZ79459Z
—
CA
Enumeration date
12/18/2006
Last updated
08/22/2020
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