Provider Demographics
NPI:1699141309
Name:MEDICAL TRANSPORTATION OF CALIF
Entity type:Organization
Organization Name:MEDICAL TRANSPORTATION OF CALIF
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:MOHAMMED
Authorized Official - Middle Name:M
Authorized Official - Last Name:EWAIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:209-894-8919
Mailing Address - Street 1:45 NOSTALGIA AVE
Mailing Address - Street 2:
Mailing Address - City:PATTERSON
Mailing Address - State:CA
Mailing Address - Zip Code:95363-8348
Mailing Address - Country:US
Mailing Address - Phone:209-894-8919
Mailing Address - Fax:209-894-8919
Practice Address - Street 1:45 NOSTALGIA AVE
Practice Address - Street 2:
Practice Address - City:PATTERSON
Practice Address - State:CA
Practice Address - Zip Code:95363-8348
Practice Address - Country:US
Practice Address - Phone:209-894-8919
Practice Address - Fax:209-894-8919
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-08-17
Last Update Date:2015-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
No347C00000XTransportation ServicesPrivate Vehicle