17TH District Inc.
Organization Active NPI Non-emergency Medical Transport (VAN) · Los Angeles, CA
NPI 1245969203 · NPPES record last updated Jun 6, 2022
Key facts
- NPI
- 1245969203
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Non-emergency Medical Transport (VAN) 343900000X
- Legal business name
- 17TH DISTRICT INC.
- Practice address
- 3575 Cahuenga Blvd W
Los Angeles, CA 90068-1366 - Phone
- (323) 517-3178
- NPI assigned
- Jun 6, 2022
- Organization subpart
- No
Authorized official
- Name
- Rashad Scroggins
- Title
- Ceo
- Phone
- (323) 517-3178
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Non-emergency Medical Transport (VAN) | 343900000X | Yes | ||
| Private Vehicle | 347C00000X |
Addresses
Primary practice location
3575 Cahuenga Blvd W
Los Angeles, CA 90068-1366
Mailing address
13547 Ventura Blvd # 232
Sherman Oaks, CA 91423-3825
Phone (323) 517-3178
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 6, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.