Provider Demographics
NPI:1841743895
Name:JLA TRANSPORTATION
Entity type:Organization
Organization Name:JLA TRANSPORTATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JOE
Authorized Official - Middle Name:
Authorized Official - Last Name:ARMENTA
Authorized Official - Suffix:SR
Authorized Official - Credentials:
Authorized Official - Phone:209-670-1556
Mailing Address - Street 1:956 W ROBINHOOD DR
Mailing Address - Street 2:
Mailing Address - City:STOCKTON
Mailing Address - State:CA
Mailing Address - Zip Code:95207-5602
Mailing Address - Country:US
Mailing Address - Phone:209-670-1556
Mailing Address - Fax:209-670-1547
Practice Address - Street 1:956 W ROBINHOOD DR
Practice Address - Street 2:
Practice Address - City:STOCKTON
Practice Address - State:CA
Practice Address - Zip Code:95207-5602
Practice Address - Country:US
Practice Address - Phone:209-670-1556
Practice Address - Fax:209-670-1547
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-07-26
Last Update Date:2016-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)