Organization
K. C. MEDIVANS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KARINA CECILIA CUADRA N/A (OWNER)
(562) 273-0390
Entity
Organization
Contact information
Practice address
2925 ATHEL DR, HACIENDA HEIGHTS, CA 91745-4304
(562) 273-0390
(562) 273-0332
Mailing address
PO BOX 1783, WEST COVINA, CA 91793-1783
(562) 273-0390
(562) 273-0332
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
02/28/2017
Last updated
02/28/2017
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