Provider Demographics
NPI:1144553231
Name:MEDICAL AIRXPRESS
Entity type:Organization
Organization Name:MEDICAL AIRXPRESS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:MANNY
Authorized Official - Middle Name:
Authorized Official - Last Name:NUNEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:562-746-9442
Mailing Address - Street 1:12139 165TH ST
Mailing Address - Street 2:
Mailing Address - City:NORWALK
Mailing Address - State:CA
Mailing Address - Zip Code:90650-7255
Mailing Address - Country:US
Mailing Address - Phone:562-746-9442
Mailing Address - Fax:562-802-5042
Practice Address - Street 1:12139 165TH ST
Practice Address - Street 2:
Practice Address - City:NORWALK
Practice Address - State:CA
Practice Address - Zip Code:90650-7255
Practice Address - Country:US
Practice Address - Phone:562-746-9442
Practice Address - Fax:562-802-5042
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-09-08
Last Update Date:2009-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416A0800XTransportation ServicesAmbulanceAir Transport