Provider Demographics
NPI:1801961412
Name:DEPENDABLE CARE TRANSPORTATION, INC.
Entity type:Organization
Organization Name:DEPENDABLE CARE TRANSPORTATION, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:YEFIM
Authorized Official - Middle Name:
Authorized Official - Last Name:BEGUN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:323-617-3066
Mailing Address - Street 1:639 N FAIRFAX AVE FL 2
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90036-1714
Mailing Address - Country:US
Mailing Address - Phone:323-878-2660
Mailing Address - Fax:
Practice Address - Street 1:639 N FAIRFAX AVE FL 2
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90036-1714
Practice Address - Country:US
Practice Address - Phone:323-878-2660
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-21
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAMTN00715FMedicaid