Provider Demographics
NPI:1629111398
Name:SMS TRANSPORTATION
Entity Type:Organization
Organization Name:SMS TRANSPORTATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:DANIELLE
Authorized Official - Middle Name:
Authorized Official - Last Name:WILTZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:213-489-5367
Mailing Address - Street 1:865 S FIGUEROA ST STE 2750
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90017-2627
Mailing Address - Country:US
Mailing Address - Phone:760-346-3790
Mailing Address - Fax:760-346-7052
Practice Address - Street 1:83912 AVENUE 45
Practice Address - Street 2:SUITE 10
Practice Address - City:INDIO
Practice Address - State:CA
Practice Address - Zip Code:92201-7351
Practice Address - Country:US
Practice Address - Phone:760-347-3900
Practice Address - Fax:760-346-7052
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-14
Last Update Date:2016-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMTN00817F343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAMTN00817FOtherALLIED HEALTH-05