Socal Mma Unlimited

Primary specialty

Secured Medical Transport (VAN)Taxonomy code 343800000X

Legal business name

SOCAL MMA UNLIMITED

Practice address

11020 Fineview St
South El Monte, CA 91733-2817

Phone

(626) 350-0040

Fax

(626) 279-6744

NPI assigned

May 1, 2009

Organization subpart

No

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

Authorized official

Name

Johnnie Iwabucci

Title

President

Phone

(626) 350-0040

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1241136000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1241136000000",
    "number": "1720222953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8727 RALPH ST",
            "city": "ROSEMEAD",
            "state": "CA",
            "postal_code": "917701736",
            "telephone_number": "626-350-0040",
            "fax_number": "626-297-6744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11020 FINEVIEW ST",
            "city": "SOUTH EL MONTE",
            "state": "CA",
            "postal_code": "917332817",
            "telephone_number": "626-350-0040",
            "fax_number": "626-279-6744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOCAL MMA UNLIMITED",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-01",
        "last_updated": "2009-05-01",
        "status": "A",
        "authorized_official_last_name": "IWABUCCI",
        "authorized_official_first_name": "JOHNNIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "626-350-0040"
    },
    "taxonomies": [
        {
            "code": "343800000X",
            "taxonomy_group": "",
            "desc": "Secured Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Secured Medical Transport (VAN) in South El Monte, CA
• Providers in South El Monte, CA by specialty
• Secured Medical Transport (VAN) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2009; 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.