Provider Demographics
NPI:1487242111
Name:LUXURY MEDICAL TRANSPORTATION LLC
Entity type:Organization
Organization Name:LUXURY MEDICAL TRANSPORTATION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CHRIS
Authorized Official - Middle Name:
Authorized Official - Last Name:MCLAREN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:424-522-2444
Mailing Address - Street 1:317 E ALAMEDA AVE APT H
Mailing Address - Street 2:
Mailing Address - City:BURBANK
Mailing Address - State:CA
Mailing Address - Zip Code:91502-3337
Mailing Address - Country:US
Mailing Address - Phone:213-222-3555
Mailing Address - Fax:213-559-9883
Practice Address - Street 1:317 E ALAMEDA AVE APT H
Practice Address - Street 2:
Practice Address - City:BURBANK
Practice Address - State:CA
Practice Address - Zip Code:91502-3337
Practice Address - Country:US
Practice Address - Phone:213-222-3555
Practice Address - Fax:213-559-9883
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-01-07
Last Update Date:2021-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)