California Physician Network LLC

Primary specialty

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

Legal business name

CALIFORNIA PHYSICIAN NETWORK LLC

Practice address

7657 Winnetka #712
Winnetka, CA 91306

Phone

(818) 436-0416

Fax

(818) 478-2305

NPI assigned

Aug 8, 2017

Last updated

Jul 21, 2022By 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

Mrs. Dennise Mejia, CEO

Title

Ceo

Phone

(818) 339-3113

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1502150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1255856555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7657 WINNETKA AVE # 712",
            "city": "WINNETKA",
            "state": "CA",
            "postal_code": "913062677",
            "telephone_number": "818-912-8127",
            "fax_number": "818-478-2305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7657 WINNETKA #712",
            "city": "WINNETKA",
            "state": "CA",
            "postal_code": "91306",
            "telephone_number": "818-436-0416",
            "fax_number": "818-478-2305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CALIFORNIA PHYSICIAN NETWORK LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-08",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "MEJIA",
        "authorized_official_first_name": "DENNISE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-339-3113",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CEO"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Non-emergency Medical Transport (VAN) in Winnetka, CA
• Providers in Winnetka, CA by specialty
• Non-emergency Medical Transport (VAN) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.