Provider Demographics
NPI:1083079271
Name:CPOV NON-MEDICAL TRANSPORTATION,LLC
Entity Type:Organization
Organization Name:CPOV NON-MEDICAL TRANSPORTATION,LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:DANA
Authorized Official - Middle Name:
Authorized Official - Last Name:MOODY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:424-396-3597
Mailing Address - Street 1:PO BOX 47738
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90047-0738
Mailing Address - Country:US
Mailing Address - Phone:424-396-3597
Mailing Address - Fax:424-396-3597
Practice Address - Street 1:600 E TURMONT ST
Practice Address - Street 2:
Practice Address - City:CARSON
Practice Address - State:CA
Practice Address - Zip Code:90746-3806
Practice Address - Country:US
Practice Address - Phone:424-396-3597
Practice Address - Fax:424-396-3597
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CHILDS POINT OF VIEW INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2015-12-15
Last Update Date:2016-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAB8500422343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)