St. Mary Magdalene Medical Transport

Primary specialty

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

Legal business name

ST. MARY MAGDALENE MEDICAL TRANSPORT

Practice address

17111 S Horst Avenue
Cerritos, CA 90703

Phone

(562) 449-7588

Fax

(562) 865-0128

NPI assigned

Oct 10, 2011

Last updated

Nov 14, 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

Ophelia Laurente

Title

Owner

Phone

(562) 427-5164

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1318204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1321228800000",
    "number": "1588948525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 786",
            "city": "ARTESIA",
            "state": "CA",
            "postal_code": "907020786",
            "telephone_number": "562-449-7588",
            "fax_number": "562-865-0128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17111 S HORST AVENUE",
            "city": "CERRITOS",
            "state": "CA",
            "postal_code": "90703",
            "telephone_number": "562-449-7588",
            "fax_number": "562-865-0128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. MARY MAGDALENE MEDICAL TRANSPORT",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-10",
        "last_updated": "2011-11-14",
        "status": "A",
        "authorized_official_last_name": "LAURENTE",
        "authorized_official_first_name": "OPHELIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "562-427-5164"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Non-emergency Medical Transport (VAN) in Cerritos, CA
• Providers in Cerritos, 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 Nov 14, 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.