Provider Demographics
NPI:1306564224
Name:ECO SAFE TRANSPORT INC
Entity type:Organization
Organization Name:ECO SAFE TRANSPORT INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:HOOMAN
Authorized Official - Middle Name:
Authorized Official - Last Name:SAEIDI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-818-4821
Mailing Address - Street 1:19844 TURTLE SPRINGS WAY
Mailing Address - Street 2:
Mailing Address - City:PORTER RANCH
Mailing Address - State:CA
Mailing Address - Zip Code:91326-3880
Mailing Address - Country:US
Mailing Address - Phone:818-818-4821
Mailing Address - Fax:
Practice Address - Street 1:19844 TURTLE SPRINGS WAY
Practice Address - Street 2:
Practice Address - City:PORTER RANCH
Practice Address - State:CA
Practice Address - Zip Code:91326-3880
Practice Address - Country:US
Practice Address - Phone:818-818-4821
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-08-16
Last Update Date:2022-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA17660OtherPROCARE
CAZ1599OtherHOMLINKE