Provider Demographics
NPI:1346582962
Name:C.L.S.NON-EMERGENCY MEDICAL TRANSPORTATION SERVICES
Entity Type:Organization
Organization Name:C.L.S.NON-EMERGENCY MEDICAL TRANSPORTATION SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SECRETARY
Authorized Official - Prefix:MR
Authorized Official - First Name:CHOPIN
Authorized Official - Middle Name:LEVAN
Authorized Official - Last Name:SCOTT
Authorized Official - Suffix:SR
Authorized Official - Credentials:
Authorized Official - Phone:951-377-4127
Mailing Address - Street 1:14873 STEPHENSON ST
Mailing Address - Street 2:
Mailing Address - City:MORENO VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:92555-6324
Mailing Address - Country:US
Mailing Address - Phone:951-377-4127
Mailing Address - Fax:951-485-6821
Practice Address - Street 1:13800 HEACOCK ST
Practice Address - Street 2:BLDG C, SUITE 230-C
Practice Address - City:MORENO VALLEY
Practice Address - State:CA
Practice Address - Zip Code:92553-3339
Practice Address - Country:US
Practice Address - Phone:951-377-4127
Practice Address - Fax:951-485-6821
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-03-21
Last Update Date:2013-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)