Provider Demographics
NPI:1932886470
Name:ECALI LLC
Entity Type:Organization
Organization Name:ECALI LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:FIKADU
Authorized Official - Middle Name:
Authorized Official - Last Name:SIRUR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:323-345-9854
Mailing Address - Street 1:971 ELDEN AVE APT 24
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90006-5784
Mailing Address - Country:US
Mailing Address - Phone:323-345-9854
Mailing Address - Fax:
Practice Address - Street 1:971 ELDEN AVE APT 24
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90006-5784
Practice Address - Country:US
Practice Address - Phone:323-345-9854
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-06-28
Last Update Date:2023-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)