Cobrakai Express LLC

Primary specialty

Non-emergency Medical Transport (VAN)Taxonomy code 343900000X

Legal business name

COBRAKAI EXPRESS LLC

Practice address

10718 Cullman Ave
Whittier, CA 90603-3148

Phone

(562) 253-7829

NPI assigned

Feb 12, 2024

Organization subpart

No

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

Authorized official

Name

Peter De Guzman

Title

Owner/Ceo

Phone

(562) 253-7829

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1707696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707696000000",
    "number": "1043074875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10718 CULLMAN AVE",
            "city": "WHITTIER",
            "state": "CA",
            "postal_code": "906033148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10718 CULLMAN AVE",
            "city": "WHITTIER",
            "state": "CA",
            "postal_code": "906033148",
            "telephone_number": "562-253-7829"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COBRAKAI EXPRESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-12",
        "last_updated": "2024-02-12",
        "certification_date": "2024-02-12",
        "status": "A",
        "authorized_official_last_name": "DE GUZMAN",
        "authorized_official_first_name": "PETER",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "562-253-7829"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kaitlyn Nicole Clark, PA-C
• Stuart McPherson Clements, D.D.S.
• Melvin W. Coats, M.D.
• Daniel Cobau, D.O.
• Henry N Cobau, M.D.
• Henry Cola, M.D.
• Deborah Cole
• Alexis Colector
• Colima Anesthesia Group Inc
• Colima Internal Medical Group

• All providers in Whittier, CA
• Non-emergency Medical Transport (VAN) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2024; 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.