Provider Demographics
NPI:1407407109
Name:MEDLIFT INC
Entity Type:Organization
Organization Name:MEDLIFT INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF OPERATIONS
Authorized Official - Prefix:
Authorized Official - First Name:LEONARD
Authorized Official - Middle Name:WILLIAM
Authorized Official - Last Name:STITZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:714-222-5704
Mailing Address - Street 1:29398 RANCHO CALIFORNIA RD STE 101
Mailing Address - Street 2:
Mailing Address - City:TEMECULA
Mailing Address - State:CA
Mailing Address - Zip Code:92591-5360
Mailing Address - Country:US
Mailing Address - Phone:951-426-4660
Mailing Address - Fax:
Practice Address - Street 1:29398 RANCHO CALIFORNIA RD STE 101
Practice Address - Street 2:
Practice Address - City:TEMECULA
Practice Address - State:CA
Practice Address - Zip Code:92591-5360
Practice Address - Country:US
Practice Address - Phone:951-426-4660
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-09-24
Last Update Date:2019-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)