Provider Demographics
NPI:1023561891
Name:BITEW, MULETA F
Entity Type:Individual
Prefix:MS
First Name:MULETA
Middle Name:F
Last Name:BITEW
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3918 PASEO DE LAS TORTUGAS
Mailing Address - Street 2:
Mailing Address - City:TORRANCE
Mailing Address - State:CA
Mailing Address - Zip Code:90505-6322
Mailing Address - Country:US
Mailing Address - Phone:310-755-5042
Mailing Address - Fax:
Practice Address - Street 1:3918 PASEO DE LAS TORTUGAS
Practice Address - Street 2:
Practice Address - City:TORRANCE
Practice Address - State:CA
Practice Address - Zip Code:90505-6322
Practice Address - Country:US
Practice Address - Phone:310-755-5042
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-07-28
Last Update Date:2016-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA26-0779443343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)