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Mr. Jack Booker Anderson II
Non-emergency Medical Transport (VAN) in Gardena, California
NPI 1215507983

Jack Booker Anderson II is a Non-emergency Medical Transport (VAN) based in Los Angeles, CA. Jack Booker Anderson II practices in Gardena, CA. The NPI Number for Jack Booker Anderson II is 1215507983 and holds a License No. (California).

The current practice location address for Jack Booker Anderson II is 879 W 190Th St Ste 400, Gardena, CA and can be reached out via phone at 310-887-6382.

Location: 879 W 190Th St Ste 400, Gardena, CA, 90047-0323
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1215507983
Provider Name
Jack Booker Anderson II
Credential
Provider Entity Type
Individual
Gender
Male
Address
879 W 190Th St Ste 400, Gardena, CA, 90047-0323
Phone Number
310-887-6382
Fax Number
Provider Enumeration Date
06/25/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
879 W 190Th St Ste 400
City
Gardena
State
California
Zip
90248-4223
Phone Number
310-887-6382
Fax Number
person
Provider Business Mailing Address Details
Address
879 W 190Th St Ste 400
City
Gardena
State
California
Zip
90248-4223
Phone Number
310-887-6382
Fax Number
person
Provider's Taxonomy Details 1
Type
Transportation Services
Classification
Non-emergency Medical Transport (VAN)
Speciality
-
Taxonomy
343900000X
License No.
(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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