Organization
MSLA MEDICAL TRANSPORTATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TIM TATUM (OWNER)
(601) 249-6177
Entity
Organization
Contact information
Practice address
3607 WATSEKA AVE, LOS ANGELES, CA 90034-3950
(601) 249-6177
Mailing address
3607 WATSEKA AVE, LOS ANGELES, CA 90034-3950
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
02/09/2016
Last updated
02/09/2016
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