Provider Demographics
NPI:1528402021
Name:SERENE TRANSPORTATION SERVICES LLC
Entity Type:Organization
Organization Name:SERENE TRANSPORTATION SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:SERENA
Authorized Official - Middle Name:GARDNER
Authorized Official - Last Name:THOMAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-647-5503
Mailing Address - Street 1:2633 LINCOLN BLVD
Mailing Address - Street 2:SUITE 145
Mailing Address - City:SANTA MONICA
Mailing Address - State:CA
Mailing Address - Zip Code:90405-4619
Mailing Address - Country:US
Mailing Address - Phone:818-647-5503
Mailing Address - Fax:
Practice Address - Street 1:20234 CANTARA ST
Practice Address - Street 2:UNIT 304
Practice Address - City:WINNETKA
Practice Address - State:CA
Practice Address - Zip Code:91306-1870
Practice Address - Country:US
Practice Address - Phone:818-647-5503
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-04-26
Last Update Date:2013-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)