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Active
Organization subpart
No

Provider details

NPI number
Authorized official
MICHELLE A TYSON (CEO)
(626) 817-9402
Entity
Organization

Contact information

Practice address
3100 NEW YORK DRIVE, STE 100, PASADENA, CA 91107
(626) 840-1023
(626) 296-1403
Mailing address
3100 NEW YORK DRIVE, STE. 100, PASADENA, CA 91107
(855) 282-6968
(626) 817-9205

Taxonomy

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

Other

Enumeration date
09/12/2012
Last updated
06/08/2020
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