Organization
DRIVING ANGELS OF SOUTHERN CALIFORNIA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CALVIN NICHOLSON (PRESIDENT)
(949) 619-9090
Entity
Organization
Contact information
Practice address
24122 HOLLYOAK APT H, ALISO VIEJO, CA 92656-6960
(949) 619-9090
(714) 767-4198
Mailing address
24122 HOLLYOAK APT H, ALISO VIEJO, CA 92656-6960
(949) 619-9090
Taxonomy
Speciality
Code
Description
License number
State
347C00000X
Private Vehicle
Primary
—
—
Other
Enumeration date
09/21/2017
Last updated
09/21/2017
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