Organization
MARITA KAW
Active
Other names
medi-coach
Organization subpart
No
Provider details
NPI number
Authorized official
MARITA KAW (SOLE PROPRIETOR)
(310) 313-1111
Entity
Organization
Contact information
Practice address
3161 BUTLER AVE, LOS ANGELES, CA 90066-1301
(310) 313-1111
Mailing address
3161 BUTLER AVE, LOS ANGELES, CA 90066-1301
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
MTN00520F
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
MTN00520F
—
CA
Enumeration date
10/06/2006
Last updated
06/19/2008
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