Organization
INFINITI INNOVATIVE HOLDINGS LLC
Active
Other names
One-Stop MexEx
Organization subpart
No
Provider details
NPI number
Authorized official
EMEM ITE B.SC, MSC (MOT) (COO)
(510) 500-4487
Entity
Organization
Contact information
Practice address
37600 CENTRAL CT STE 218, NEWARK, CA 94560-3456
(510) 500-4487
(510) 868-0257
Mailing address
PO BOX 211, NEWARK, CA 94560-0211
(510) 500-4487
(510) 868-0257
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
B20250129801
SOS
CA
Enumeration date
02/12/2019
Last updated
12/31/2025
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