Provider Demographics
NPI:1306555792
Name:CALIFORNIA MEDICAL FLEET LLC
Entity type:Organization
Organization Name:CALIFORNIA MEDICAL FLEET LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/OPERATOR
Authorized Official - Prefix:
Authorized Official - First Name:MOHDKHIER
Authorized Official - Middle Name:
Authorized Official - Last Name:ALMASSAD
Authorized Official - Suffix:
Authorized Official - Credentials:MA
Authorized Official - Phone:619-587-2416
Mailing Address - Street 1:7800 UNIVERSITY AVE # B2
Mailing Address - Street 2:
Mailing Address - City:LA MESA
Mailing Address - State:CA
Mailing Address - Zip Code:91942-4980
Mailing Address - Country:US
Mailing Address - Phone:619-587-2416
Mailing Address - Fax:
Practice Address - Street 1:7800 UNIVERSITY AVE # B2
Practice Address - Street 2:
Practice Address - City:LA MESA
Practice Address - State:CA
Practice Address - Zip Code:91942-4980
Practice Address - Country:US
Practice Address - Phone:619-587-2416
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-11-15
Last Update Date:2022-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes342000000XTransportation ServicesTransportation Network Company
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA026966Medicaid