Provider Demographics
NPI:1588907752
Name:BE MOBILE TRANSPORTATION LLC
Entity type:Organization
Organization Name:BE MOBILE TRANSPORTATION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:AVETIS
Authorized Official - Middle Name:
Authorized Official - Last Name:AVETISYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:650-392-2470
Mailing Address - Street 1:66 SAN PEDRO RD
Mailing Address - Street 2:SUITE C6
Mailing Address - City:DALY CITY
Mailing Address - State:CA
Mailing Address - Zip Code:94014-2502
Mailing Address - Country:US
Mailing Address - Phone:650-392-2470
Mailing Address - Fax:650-392-2471
Practice Address - Street 1:66 SAN PEDRO RD
Practice Address - Street 2:SUITE C6
Practice Address - City:DALY CITY
Practice Address - State:CA
Practice Address - Zip Code:94014-2502
Practice Address - Country:US
Practice Address - Phone:650-392-2470
Practice Address - Fax:650-392-2471
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-04-05
Last Update Date:2013-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALIC-9-11-4293343800000X, 347B00000X, 343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
No343800000XTransportation ServicesSecured Medical Transport (VAN)
No347B00000XTransportation ServicesBus