Organization
SOCAL MMA UNLIMITED
Active
Organization
SOCAL MMA UNLIMITED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHNNIE IWABUCCI (PRESIDENT)
(626) 350-0040
Entity
Organization
Contact information
Practice address
11020 FINEVIEW ST, SOUTH EL MONTE, CA 91733-2817
(626) 350-0040
(626) 279-6744
Mailing address
8727 RALPH ST, ROSEMEAD, CA 91770-1736
(626) 350-0040
(626) 297-6744
Taxonomy
Speciality
Code
Description
License number
State
343800000X
Secured Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
05/01/2009
Last updated
05/01/2009
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