Organization
TRANSFOURTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DENNIS FRIAS (PRESIDENT-CEO)
(818) 335-7617
Entity
Organization
Contact information
Practice address
895 N LOS ROBLES AVE, PASADENA, CA 91104-4318
(818) 335-7617
Mailing address
895 N LOS ROBLES AVE, PASADENA, CA 91104-4318
(818) 335-7617
Taxonomy
Speciality
Code
Description
License number
State
343800000X
Secured Medical Transport (VAN)
—
—
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
08/16/2015
Last updated
08/16/2015
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