TLC Courtesy Coach, Inc.

Primary specialty

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

License

ZZZ79459Z Issued in CA

Legal business name

TLC COURTESY COACH, INC.

Practice address

11652 Knott St Ste 4
Garden Grove, CA 92841-1821

Phone

(714) 891-2298

NPI assigned

Dec 18, 2006

Last updated

Aug 22, 2020By 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

Mr. Rolando Reyes Malapaya

Title

Manager

Phone

(714) 448-5723

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1166400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1366505968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11652 KNOTT ST STE 4",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928411821",
            "telephone_number": "714-891-2298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11652 KNOTT ST STE 4",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928411821",
            "telephone_number": "714-891-2298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TLC COURTESY COACH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MALAPAYA",
        "authorized_official_first_name": "ROLANDO",
        "authorized_official_middle_name": "REYES",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "714-448-5723",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "CA",
            "license": "ZZZ79459Z",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZZ79459Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Non-emergency Medical Transport (VAN) in Garden Grove, CA
• Providers in Garden Grove, 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 Aug 22, 2020; 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.