Organization
MODA TRANSPORTATION, LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RON M. MODARAEI (DIRECTOR OF OPERATIONS)
(877) 663-2123
Entity
Organization
Contact information
Practice address
423 CASUDA CANYON DR, MONTEREY PARK, CA 91754-2203
(877) 663-2123
Mailing address
423 CASUDA CANYON DR, MONTEREY PARK, CA 91754-2203
(877) 663-2123
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1104066000
NPI
CA
Enumeration date
10/05/2009
Last updated
10/05/2009
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