1629111398 NPI number — SMS TRANSPORTATION

Table of content: (NPI 1629111398)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1629111398 NPI number — SMS TRANSPORTATION

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
SMS TRANSPORTATION
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1629111398
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
10/13/2016
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
865 S FIGUEROA ST STE 2750
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
LOS ANGELES
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
90017-2627
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
760-346-3790
Provider Business Mailing Address Fax Number:
760-346-7052

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
83912 AVENUE 45
Provider Second Line Business Practice Location Address:
SUITE 10
Provider Business Practice Location Address City Name:
INDIO
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
92201-7351
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
760-347-3900
Provider Business Practice Location Address Fax Number:
760-346-7052
Provider Enumeration Date:
02/14/2007

Additional Information

Authorized Official

Authorized Official Last Name:
WILTZ
Authorized Official First Name:
DANIELLE
Authorized Official Middle Name:
Authorized Official Title or Position:
CFO
Authorized Official Telephone Number:
213-489-5367

Provider Taxonomy Codes

  • Taxonomy code: 343900000X , with the licence number:  MTN00817F , registered in the state of CA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: MTN00817F . This is a "ALLIED HEALTH-05" identifier , issued by the state of ( CA ) . This identifiers is of the category "OTHER".




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