Organization
THE EM1NENCE GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
M AVLY (MANAGER)
(818) 782-3699
Entity
Organization
Contact information
Practice address
3780 KILROY AIRPORT WAY, LONG BEACH, CA 90806-2457
(818) 782-3699
Mailing address
4924 BALBOA BLVD, ENCINO, CA 91316-3402
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
—
—
347C00000X
Private Vehicle
Primary
—
—
Other
Enumeration date
05/28/2024
Last updated
05/28/2024
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