Provider Demographics
NPI:1285957472
Name:LA CAR SERVICE
Entity type:Organization
Organization Name:LA CAR SERVICE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:KAYA
Authorized Official - Middle Name:
Authorized Official - Last Name:KOUVONEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:310-452-3002
Mailing Address - Street 1:1158 26TH ST # 740
Mailing Address - Street 2:
Mailing Address - City:SANTA MONICA
Mailing Address - State:CA
Mailing Address - Zip Code:90403-4698
Mailing Address - Country:US
Mailing Address - Phone:310-452-3002
Mailing Address - Fax:310-313-5218
Practice Address - Street 1:11178 WESTMINSTER AVE APT E
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90034-6518
Practice Address - Country:US
Practice Address - Phone:310-452-3002
Practice Address - Fax:310-313-5218
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-03-02
Last Update Date:2010-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CATCP 19221343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)