Provider Demographics
NPI:1194061945
Name:A1 MEDICAL TRANSPORTATION
Entity type:Organization
Organization Name:A1 MEDICAL TRANSPORTATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:HAMED
Authorized Official - Middle Name:A
Authorized Official - Last Name:ELDAGHASH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:562-537-9757
Mailing Address - Street 1:12534 VALLEY VIEW ST
Mailing Address - Street 2:
Mailing Address - City:GARDEN GROVE
Mailing Address - State:CA
Mailing Address - Zip Code:92845-5540
Mailing Address - Country:US
Mailing Address - Phone:562-537-9757
Mailing Address - Fax:
Practice Address - Street 1:12534 VALLEY VIEW ST
Practice Address - Street 2:
Practice Address - City:GARDEN GROVE
Practice Address - State:CA
Practice Address - Zip Code:92845-5540
Practice Address - Country:US
Practice Address - Phone:562-537-9757
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-12-26
Last Update Date:2013-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)