Provider Demographics
NPI:1023290731
Name:MDM PARATRANSIT LLC
Entity type:Organization
Organization Name:MDM PARATRANSIT LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:MILDRED
Authorized Official - Middle Name:M
Authorized Official - Last Name:DEANG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:213-382-9888
Mailing Address - Street 1:3460 WILSHIRE BLVD
Mailing Address - Street 2:SUITE 1006
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90010-2206
Mailing Address - Country:US
Mailing Address - Phone:213-382-9888
Mailing Address - Fax:213-382-9899
Practice Address - Street 1:3460 WILSHIRE BLVD
Practice Address - Street 2:SUITE 1006
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90010-2206
Practice Address - Country:US
Practice Address - Phone:213-382-9888
Practice Address - Fax:213-382-9899
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-04
Last Update Date:2007-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)