Provider Demographics
NPI:1003183807
Name:LOS ANGELES MEDICAL TRANSPORTATION, LLC
Entity Type:Organization
Organization Name:LOS ANGELES MEDICAL TRANSPORTATION, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT / CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:FELICIANO
Authorized Official - Middle Name:
Authorized Official - Last Name:SERRANO
Authorized Official - Suffix:II
Authorized Official - Credentials:M D
Authorized Official - Phone:562-964-1923
Mailing Address - Street 1:PO BOX 2129
Mailing Address - Street 2:
Mailing Address - City:HUNTINGTON PARK
Mailing Address - State:CA
Mailing Address - Zip Code:90255-1429
Mailing Address - Country:US
Mailing Address - Phone:323-581-4396
Mailing Address - Fax:
Practice Address - Street 1:16000 WEST RD
Practice Address - Street 2:
Practice Address - City:WHITTIER
Practice Address - State:CA
Practice Address - Zip Code:90603-1441
Practice Address - Country:US
Practice Address - Phone:323-581-4396
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-11-21
Last Update Date:2011-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)