Organization
LUCKY TIMES,INC
Active
Other names
new life transportation
Organization subpart
No
Provider details
NPI number
Authorized official
FELIX KOTOVETS (SECRETARY)
(310) 203-1320
Entity
Organization
Contact information
Practice address
1508 MAIN STREET, VENICE, CA 90291
(310) 203-1320
Mailing address
1508 MAIN STREET, VENICE, CA 90291
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
12/07/2011
Last updated
12/07/2011
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