Provider Demographics
NPI:1801928544
Name:LMV SERVICES GROUP INC
Entity type:Organization
Organization Name:LMV SERVICES GROUP INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:JOHNNIE
Authorized Official - Middle Name:
Authorized Official - Last Name:IWABUCCI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:626-350-0040
Mailing Address - Street 1:8727 RALPH ST
Mailing Address - Street 2:
Mailing Address - City:ROSEMEAD
Mailing Address - State:CA
Mailing Address - Zip Code:91770-1736
Mailing Address - Country:US
Mailing Address - Phone:626-350-0040
Mailing Address - Fax:626-279-6744
Practice Address - Street 1:11020 FINEVIEW ST
Practice Address - Street 2:
Practice Address - City:SOUTH EL MONTE
Practice Address - State:CA
Practice Address - Zip Code:91733-2817
Practice Address - Country:US
Practice Address - Phone:626-350-0040
Practice Address - Fax:626-279-6744
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-09
Last Update Date:2009-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA3416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAZ545Medicare ID - Type Unspecified