The Em1Nence Group

Primary specialty

Private VehicleTaxonomy code 347C00000X

Legal business name

THE EM1NENCE GROUP

Practice address

3780 Kilroy Airport Way
Long Beach, CA 90806-2457

Phone

(818) 782-3699

NPI assigned

May 28, 2024

Organization subpart

No

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

Authorized official

Name

M Avly

Title

Manager

Phone

(818) 782-3699

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1716854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716854400000",
    "number": "1821838814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4924 BALBOA BLVD",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "913163402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3780 KILROY AIRPORT WAY",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908062457",
            "telephone_number": "818-782-3699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE EM1NENCE GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-28",
        "last_updated": "2024-05-28",
        "certification_date": "2024-05-28",
        "status": "A",
        "authorized_official_last_name": "AVLY",
        "authorized_official_first_name": "M",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "818-782-3699"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "347C00000X",
            "taxonomy_group": "",
            "desc": "Private Vehicle",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Private Vehicle in Long Beach, CA
• Providers in Long Beach, CA by specialty
• Private Vehicle 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.