Organization
MODA TRANS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEN LA (PRESIDENT)
(714) 317-8388
Entity
Organization
Contact information
Practice address
4201 LONG BEACH BLVD STE 420, LONG BEACH, CA 90807-2022
(877) 663-2123
(877) 663-2003
Mailing address
4201 LONG BEACH BLVD STE 420, LONG BEACH, CA 90807-2022
(877) 663-2123
(877) 663-2003
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
12/29/2017
Last updated
12/29/2017
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