Individual
ULISES MADRIGAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
14124 ADOREE ST, LA MIRADA, CA 90638-1901
(714) 222-5448
Mailing address
14124 ADOREE ST, LA MIRADA, CA 90638-1901
(714) 222-5448
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
—
—
347C00000X
Private Vehicle
Primary
—
—
Other
Enumeration date
12/28/2020
Last updated
10/06/2023
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