Organization
FAITHFUL MEDICAL TRANSPORT SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KRIS JOHNSON (OWNER)
(562) 714-1063
Entity
Organization
Contact information
Practice address
17777 CENTER COURT DRIVE, SUITE 600, CERRITOS, CA 90703
(562) 714-0488
(714) 752-6083
Mailing address
18173 PIONEER BLVD STE C, ARTESIA, CA 90701-3982
(562) 860-8800
(562) 366-3011
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
201703210371
CA
Other
Enumeration date
02/13/2017
Last updated
04/28/2017
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