Provider Demographics
NPI:1447261151
Name:SCRIPT MEDICAL TRANSIT, INC.
Entity type:Organization
Organization Name:SCRIPT MEDICAL TRANSIT, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:LOURDES
Authorized Official - Middle Name:DAISY
Authorized Official - Last Name:HERNANDEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:626-487-1084
Mailing Address - Street 1:2225 W COMMONWEALTH AVE
Mailing Address - Street 2:#207
Mailing Address - City:ALHAMBRA
Mailing Address - State:CA
Mailing Address - Zip Code:91803-1332
Mailing Address - Country:US
Mailing Address - Phone:626-282-3285
Mailing Address - Fax:626-282-8496
Practice Address - Street 1:2225 W COMMONWEALTH AVE
Practice Address - Street 2:#207
Practice Address - City:ALHAMBRA
Practice Address - State:CA
Practice Address - Zip Code:91803-1332
Practice Address - Country:US
Practice Address - Phone:626-282-3285
Practice Address - Fax:626-282-8496
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-10
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAC1472514343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAMTN00376FMedicaid