Provider Demographics
NPI:1518436583
Name:INFINITY INTERNATIONAL GROUP OF AMERICA
Entity Type:Organization
Organization Name:INFINITY INTERNATIONAL GROUP OF AMERICA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:ISMAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:FRANCISCO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:562-243-5158
Mailing Address - Street 1:PO BOX 4808
Mailing Address - Street 2:
Mailing Address - City:DOWNEY
Mailing Address - State:CA
Mailing Address - Zip Code:90241-1808
Mailing Address - Country:US
Mailing Address - Phone:562-222-4855
Mailing Address - Fax:
Practice Address - Street 1:1509 W PICO BLVD
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90015-2407
Practice Address - Country:US
Practice Address - Phone:562-222-4855
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-11-19
Last Update Date:2018-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)