Provider Demographics
NPI:1356129142
Name:CALIFORNIA MEDICAL TRANSPORTATION INC
Entity type:Organization
Organization Name:CALIFORNIA MEDICAL TRANSPORTATION INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SUCCESS
Authorized Official - Middle Name:
Authorized Official - Last Name:NWOKOLO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:424-382-2831
Mailing Address - Street 1:518 W QUEEN ST APT 311
Mailing Address - Street 2:
Mailing Address - City:INGLEWOOD
Mailing Address - State:CA
Mailing Address - Zip Code:90301-4764
Mailing Address - Country:US
Mailing Address - Phone:424-382-2831
Mailing Address - Fax:
Practice Address - Street 1:879 WEST 190TH STREET SUITE400 RM48
Practice Address - Street 2:
Practice Address - City:GARDENA
Practice Address - State:CA
Practice Address - Zip Code:90248
Practice Address - Country:US
Practice Address - Phone:424-382-2831
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-09-21
Last Update Date:2023-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)