Genesis la Transportation LLC

Primary specialty

Social WorkerTaxonomy code 104100000X

Legal business name

GENESIS LA TRANSPORTATION LLC

Practice address

26201 Ozone Avenue
Harbor City, CA 90710

Phone

(562) 449-3878

NPI assigned

Jan 17, 2024

Organization subpart

No

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

Authorized official

Name

Mrs. Mary Ann Roque

Title

Owner

Phone

(310) 658-0436

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1705449600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716854400000",
    "number": "1376304436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8605 SANTA MONICA BLVD # 273305",
            "city": "WEST HOLLYWOOD",
            "state": "CA",
            "postal_code": "900694109",
            "telephone_number": "562-449-3878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26201 OZONE AVENUE",
            "city": "HARBOR CITY",
            "state": "CA",
            "postal_code": "90710",
            "telephone_number": "562-449-3878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENESIS LA TRANSPORTATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-17",
        "last_updated": "2024-05-28",
        "certification_date": "2024-02-29",
        "status": "A",
        "authorized_official_last_name": "ROQUE",
        "authorized_official_first_name": "MARY ANN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-658-0436",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy Gallo, M.S., CCC-SLP
• Charles R. Garcia, MD
• Gonzalo G. Garreton, MD
• Vanessa Gavin-Headen, MD
• Anna Gee, OD
• Ruth Teshawork Getachew, M.D.
• Harjot Gill, M.D.
• Glenn Medical Group Inc
• Casper Glenn, M.D.
• Nioosha Godsi, MD

• Social Worker in Harbor City, CA
• Providers in Harbor City, CA by specialty
• Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 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.