Genesis La Transportation Llc | |
26201 Ozone Avenue Harbor City CA 90710 | |
(562) 449-3878 | |
Not Available |
Full Name | Genesis La Transportation Llc |
---|---|
Speciality | Social Worker |
Location | 26201 Ozone Avenue, Harbor City, California |
Authorized Official Name and Position | Mary Ann Roque (OWNER) |
Authorized Official Contact | 3106580436 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Genesis La Transportation Llc 8605 Santa Monica Blvd # 273305 West Hollywood CA 90069-4109 Ph: (562) 449-3878 | Genesis La Transportation Llc 26201 Ozone Avenue Harbor City CA 90710 Ph: (562) 449-3878 |
NPI Number | 1376304436 |
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Provider Enumeration Date | 01/17/2024 |
Last Update Date | 05/28/2024 |
Certification Date | 02/29/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1376304436 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
104100000X | Social Worker | (* (Not Available)) | Primary |
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