Organization · NPI-2

17th District INC.

Non-emergency Medical Transport (VAN) · Los Angeles, CA

NPI number1245969203
StatusActive
Last updated in NPPESJun 6, 2022

Details

NPI
1245969203
Entity type
Organization (NPI-2)
Legal business name
17th District INC.
Organization subpart
No
Enumeration date
Jun 6, 2022
Certification date
Jun 6, 2022
Last updated
Jun 6, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
343900000X Non-emergency Medical Transport (VAN)––Yes
347C00000X Private Vehicle––

Practice location

3575 Cahuenga Blvd W
Los Angeles, CA 90068-1366

Phone 323-517-3178

Mailing address

13547 Ventura Blvd # 232
Sherman Oaks, CA 91423-3825

Phone 323-517-3178

Authorized official

Rashad Scroggins
Ceo
3235173178

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