Lucky Times,Inc

Primary specialty

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

Legal business name

LUCKY TIMES,INC

Doing business as

new life transportation

Practice address

1508 Main Street
Venice, CA 90291

Phone

(310) 203-1320

NPI assigned

Dec 7, 2011

Last updated

Dec 7, 2011By 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

Felix Kotovets

Title

Secretary

Phone

(310) 203-1320

Specialties & licenses 1

Addresses

Other names 1

• new life transportation Doing business as

Locations

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

{
    "created_epoch": "1323216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323216000000",
    "number": "1588932305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1508 MAIN STREET",
            "city": "VENICE",
            "state": "CA",
            "postal_code": "90291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1508 MAIN STREET",
            "city": "VENICE",
            "state": "CA",
            "postal_code": "90291",
            "telephone_number": "310-203-1320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUCKY TIMES,INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-07",
        "last_updated": "2011-12-07",
        "status": "A",
        "authorized_official_last_name": "KOTOVETS",
        "authorized_official_first_name": "FELIX",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "310-203-1320"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "new life transportation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lorena Lizarraga
• Stephanie Locascio, LPCC
• Margarita Loeza, M.D.
• Allen Joseph Lopez
• Adam Lowy, M.D.
• Brian Ly
• Alexander J Macdonald
• Luciano Machado II
• Juan M Macias Jr.
• Rosalie S Maduro

• Non-emergency Medical Transport (VAN) in Venice, CA
• Providers in Venice, 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 7, 2011; 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.