Individual provider · Type 1 NPI

Jack Booker Anderson Ii

Non-emergency Medical Transport (VAN) · Gardena, CA

NPI number 1215507983 Active

Practice location

879 W 190th St Ste 400
Gardena, CA 90248-4223

Call (310) 887-6382 Map

Mailing address

PO Box 470323
Los Angeles, CA 90047-0323

Specialties and licenses

TaxonomyCodeLicense
Non-emergency Medical Transport (VAN) Primary 343900000XNone listed

Non-emergency Medical Transport (VAN): 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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About NPI 1215507983

Jack Booker Anderson Ii's National Provider Identifier is 1215507983, issued on Jun 25, 2021. The primary taxonomy on file is Non-emergency Medical Transport (VAN) (343900000X), and the practice location is in Gardena, CA. The record was last updated on Feb 7, 2023.