Provider Demographics
NPI:1285497446
Name:A2B MEDICAL
Entity type:Organization
Organization Name:A2B MEDICAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/DRIVER
Authorized Official - Prefix:
Authorized Official - First Name:RYEZEIR
Authorized Official - Middle Name:
Authorized Official - Last Name:WILKINS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:619-721-7819
Mailing Address - Street 1:28999 OLD TOWN FRONT ST STE 203
Mailing Address - Street 2:
Mailing Address - City:TEMECULA
Mailing Address - State:CA
Mailing Address - Zip Code:92590-5806
Mailing Address - Country:US
Mailing Address - Phone:619-721-7819
Mailing Address - Fax:
Practice Address - Street 1:28999 OLD TOWN FRONT ST STE 203
Practice Address - Street 2:
Practice Address - City:TEMECULA
Practice Address - State:CA
Practice Address - Zip Code:92590-5806
Practice Address - Country:US
Practice Address - Phone:619-721-7819
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-31
Last Update Date:2024-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)