Provider Demographics
NPI:1912339227
Name:AC ENTERPRISES, INC
Entity type:Organization
Organization Name:AC ENTERPRISES, INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:ALICIA
Authorized Official - Middle Name:DANIELLE
Authorized Official - Last Name:NICHOLS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:310-461-9597
Mailing Address - Street 1:2851 W 120TH ST # E-321
Mailing Address - Street 2:
Mailing Address - City:HAWTHORNE
Mailing Address - State:CA
Mailing Address - Zip Code:90250-3395
Mailing Address - Country:US
Mailing Address - Phone:323-816-2455
Mailing Address - Fax:310-349-3374
Practice Address - Street 1:4730 W 173RD ST
Practice Address - Street 2:G
Practice Address - City:LAWNDALE
Practice Address - State:CA
Practice Address - Zip Code:90260-3120
Practice Address - Country:US
Practice Address - Phone:310-461-9597
Practice Address - Fax:310-349-3374
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-08-09
Last Update Date:2013-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)