Provider Demographics
NPI:1841325800
Name:FAMILY CARE TRANSPORTATION,INC.
Entity type:Organization
Organization Name:FAMILY CARE TRANSPORTATION,INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MARILOU
Authorized Official - Middle Name:CONTRERAS
Authorized Official - Last Name:ZUNIGA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:626-333-8705
Mailing Address - Street 1:1024 CHASE WAY
Mailing Address - Street 2:
Mailing Address - City:WEST COVINA
Mailing Address - State:CA
Mailing Address - Zip Code:91792-1009
Mailing Address - Country:US
Mailing Address - Phone:626-333-8705
Mailing Address - Fax:626-934-9045
Practice Address - Street 1:1024 CHASE WAY
Practice Address - Street 2:
Practice Address - City:WEST COVINA
Practice Address - State:CA
Practice Address - Zip Code:91792-1009
Practice Address - Country:US
Practice Address - Phone:626-333-8705
Practice Address - Fax:626-934-9045
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-22
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)