Moda Trans, LLC

Primary specialty

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

Legal business name

MODA TRANS, LLC

Practice address

4201 Long Beach Blvd Ste 420
Long Beach, CA 90807-2022

Phone

(877) 663-2123

Fax

(877) 663-2003

NPI assigned

Dec 29, 2017

Last updated

Dec 29, 2017By 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

Ken La

Title

President

Phone

(714) 317-8388

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1514505600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1514505600000",
    "number": "1538676523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4201 LONG BEACH BLVD STE 420",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908072022",
            "telephone_number": "877-663-2123",
            "fax_number": "877-663-2003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4201 LONG BEACH BLVD STE 420",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908072022",
            "telephone_number": "877-663-2123",
            "fax_number": "877-663-2003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MODA TRANS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-29",
        "last_updated": "2017-12-29",
        "status": "A",
        "authorized_official_last_name": "LA",
        "authorized_official_first_name": "KEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-317-8388"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Non-emergency Medical Transport (VAN) in Long Beach, CA
• Providers in Long Beach, 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 Dec 29, 2017; 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.