Provider Demographics
NPI:1336323674
Name:VCDS INC
Entity Type:Organization
Organization Name:VCDS INC
Other - Org Name:VENTURA COUNTY DELIVERY SERVICE
Other - Org Type:Other Name
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:DALOYNA
Authorized Official - Middle Name:N
Authorized Official - Last Name:ODOM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:805-385-9631
Mailing Address - Street 1:PO BOX 31
Mailing Address - Street 2:
Mailing Address - City:PORT HUENEME
Mailing Address - State:CA
Mailing Address - Zip Code:93044-0031
Mailing Address - Country:US
Mailing Address - Phone:805-385-9631
Mailing Address - Fax:805-385-4135
Practice Address - Street 1:1613 PACIFIC AVE
Practice Address - Street 2:SUITE #82
Practice Address - City:OXNARD
Practice Address - State:CA
Practice Address - Zip Code:93033-4087
Practice Address - Country:US
Practice Address - Phone:805-385-9631
Practice Address - Fax:805-385-4135
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-21
Last Update Date:2008-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA47598735343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)