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CJ WELLNET INC NPI 1558448167


NPI Information

NPI: 1558448167
Provider Name: CJ WELLNET INC

Doing Business As: WELLNET MEDI-VAN TRANSPORTATION

Classification: Non-emergency Medical Transport (VAN) - 343900000X
Entity Type: Organization
Address:
2021 E 4TH ST.
209
SANTA ANA, CA
ZIP 92705
Phone: (714) 665-6591
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CJ WELLNET INC is a non emergency medical transport van in Santa Ana, CA. The provider is 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. CJ WELLNET INC NPI is 1558448167. The provider is registered as an organization entity type.
The provider Is Doing Business As Wellnet Medi-van Transportation.

The provider's business location address is:

2021 E 4TH ST.
209
SANTA ANA, CA
ZIP 92705-913
Phone: (714) 665-6591
Fax: (714) 632-8409

The provider's authorized official is Matthew F. Sprowls .
The authorized official title is Vice President and has the following contact phone number (714) 337-1671.

The enumeration date for this NPI number is 11/1/2006 and was last updated on 12/17/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1343900000XNon-emergency Medical Transport (VAN)Yes
2343900000XNon-emergency Medical Transport (VAN)MTN01188FCALIFORNIANo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1MTN01188FMEDICAIDCALIFORNIA
2MTNX10007MEDICAIDCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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