NPI 1275947442
California Medtrans Network Ipa LLC
Practice location
- Address
- 2950 Express Dr S, Islandia, NY 11749-1400
- Phone
- (631) 389-2098
- Mailing address
- 992 S 2nd St, Ronkonkoma, NY 11779-7204
Authorised official
- Name
- Andrew Winakor
- Title
- Ceo
- Phone
- (516) 807-9324
Registered specialties
Transportation Broker
Primary
Registry record
- NPI
- 1275947442
- Entity type
- Organization
- NPI issued
- 16 Jun 2014
- Record last updated
- 16 Sep 2019
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.