Provider Demographics
NPI:1720814395
Name:CMK & CO, LLC
Entity type:Organization
Organization Name:CMK & CO, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COO
Authorized Official - Prefix:
Authorized Official - First Name:ANGELA
Authorized Official - Middle Name:
Authorized Official - Last Name:KIJU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:619-792-8365
Mailing Address - Street 1:2014 CAPITOL AVE STE 100
Mailing Address - Street 2:#4042
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95811
Mailing Address - Country:US
Mailing Address - Phone:619-792-8365
Mailing Address - Fax:
Practice Address - Street 1:5744 HONOR PKWY
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95835-1711
Practice Address - Country:US
Practice Address - Phone:619-792-8365
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-09-11
Last Update Date:2024-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)