Coca Inc., Dba Personal Care Services

Primary specialty

Secured Medical Transport (VAN)Taxonomy code 343800000X

Legal business name

COCA INC., DBA PERSONAL CARE SERVICES

Practice address

791 Marylind Ave BLDG 1
Claremont, CA 91711-3531

Phone

(909) 399-0888

Fax

(909) 399-3555

NPI assigned

Mar 11, 2008

Last updated

Jun 26, 2008By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Charisse Renee Wilson

Title

Director of Client Servies

Phone

(909) 399-0888

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1205193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214438400000",
    "number": "1013187517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "791 MARYLIND AVE BLDG 1",
            "city": "CLAREMONT",
            "state": "CA",
            "postal_code": "917113531",
            "telephone_number": "909-399-0888",
            "fax_number": "909-399-3555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "791 MARYLIND AVE BLDG 1",
            "city": "CLAREMONT",
            "state": "CA",
            "postal_code": "917113531",
            "telephone_number": "909-399-0888",
            "fax_number": "909-399-3555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COCA INC., DBA PERSONAL CARE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-11",
        "last_updated": "2008-06-26",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "CHARISSE",
        "authorized_official_middle_name": "RENEE",
        "authorized_official_title_or_position": "DIRECTOR OF CLIENT SERVIES",
        "authorized_official_telephone_number": "909-399-0888"
    },
    "taxonomies": [
        {
            "code": "343800000X",
            "taxonomy_group": "",
            "desc": "Secured Medical Transport (VAN)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Secured Medical Transport (VAN) in Claremont, CA
• Providers in Claremont, CA by specialty
• Secured Medical Transport (VAN) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.