Provider Demographics
NPI:1104300805
Name:HI 1 TRANSPORT
Entity type:Organization
Organization Name:HI 1 TRANSPORT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:GM
Authorized Official - Prefix:
Authorized Official - First Name:MESHARI
Authorized Official - Middle Name:
Authorized Official - Last Name:ALODAYLI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:949-910-9084
Mailing Address - Street 1:18062 IRVINE BLVD STE 101
Mailing Address - Street 2:
Mailing Address - City:TUSTIN
Mailing Address - State:CA
Mailing Address - Zip Code:92780-3328
Mailing Address - Country:US
Mailing Address - Phone:949-910-9084
Mailing Address - Fax:949-203-6111
Practice Address - Street 1:18062 IRVINE BLVD STE 101
Practice Address - Street 2:
Practice Address - City:TUSTIN
Practice Address - State:CA
Practice Address - Zip Code:92780-3328
Practice Address - Country:US
Practice Address - Phone:949-910-9084
Practice Address - Fax:949-203-6111
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-09-18
Last Update Date:2018-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA=========OtherNON EMERGENCY MEDICAL TRANSPORTATION