Provider Demographics
NPI:1558825927
Name:ANGELES NEMT
Entity Type:Organization
Organization Name:ANGELES NEMT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:GENERAL PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:MAYRA
Authorized Official - Middle Name:STEPHANIE
Authorized Official - Last Name:MENDOZA SALGADO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:661-436-8200
Mailing Address - Street 1:2529 SANDSTONE CT
Mailing Address - Street 2:
Mailing Address - City:PALMDALE
Mailing Address - State:CA
Mailing Address - Zip Code:93551-1515
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2529 SANDSTONE CT
Practice Address - Street 2:
Practice Address - City:PALMDALE
Practice Address - State:CA
Practice Address - Zip Code:93551-1515
Practice Address - Country:US
Practice Address - Phone:661-436-8200
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:MALIBU DIAL A RIDE LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2019-01-30
Last Update Date:2019-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)