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Mia Storm Bryant
Non-emergency Medical Transport (VAN) in Los Angeles, California
NPI 1003510330

Mia Storm Bryant is a Non-emergency Medical Transport (VAN) based in Los Angeles, CA. Mia Storm Bryant practices in Los Angeles, CA. The NPI Number for Mia Storm Bryant is 1003510330 and holds a License No. D5783524 (California).

The current practice location address for Mia Storm Bryant is 6345 Wooster Ave, Los Angeles, CA and can be reached out via phone at 323-215-7565 and via fax at 323-754-8832.

Location: 6345 Wooster Ave, Los Angeles, CA, 90056-2127
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1003510330
Provider Name
Mia Storm Bryant
Credential
Provider Entity Type
Individual
Gender
Female
Address
6345 Wooster Ave, Los Angeles, CA, 90056-2127
Phone Number
323-215-7565
Fax Number
323-754-8832
Provider Enumeration Date
03/29/2023
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
843685121 05 CA
institution
Provider Business Practice Location Address Details
Address
6345 Wooster Ave
City
Los Angeles
State
California
Zip
90056-2127
Phone Number
323-215-7565
Fax Number
323-754-8832
person
Provider Business Mailing Address Details
Address
6345 Wooster Ave
City
Los Angeles
State
California
Zip
90056-2127
Phone Number
323-215-7565
Fax Number
323-754-8832
person
Provider's Taxonomy Details 1
Type
Transportation Services
Classification
Non-emergency Medical Transport (VAN)
Speciality
-
Taxonomy
343900000X
License No.
D5783524 (California)
Definition
A land vehicle with a capacity to meet special height, clearance, access, and seating, for the conveyance of persons in non-emergency situations. The vehicle may or may not be required to meet local county or state regulations.
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