Eleanor Harrison
Individual provider Active NPI Non-emergency Medical Transport (VAN) · Lake L.a., CA
NPI 1326577693 · NPPES record last updated Jul 21, 2022
Key facts
- NPI
- 1326577693
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Non-emergency Medical Transport (VAN) 343900000X
- Practice address
- 40555 177TH St. East
Lake L.a., CA 93535-7506 - Phone
- (626) 348-4579
- NPI assigned
- Jun 8, 2017
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Non-emergency Medical Transport (VAN) | 343900000X | Yes |
Addresses
Primary practice location
40555 177TH St. East
Lake L.a., CA 93535-7506
Mailing address
40555 177TH St E
Lake la, CA 93535-7506
Phone (626) 348-4579
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 21, 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.