Organization
KLASS ORGANIZATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBYN WARMSLEY (OWNER)
(562) 577-1001
Entity
Organization
Contact information
Practice address
700 N DWIGHT AVE, COMPTON, CA 90220-1604
(562) 577-1001
Mailing address
700 N DWIGHT AVE, COMPTON, CA 90220-1604
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
MTN00517F
—
CA
Enumeration date
04/18/2007
Last updated
08/22/2020
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