Provider Demographics
NPI:1891393302
Name:PROHEALTH LOGISTICS
Entity type:Organization
Organization Name:PROHEALTH LOGISTICS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:ALEXANDER
Authorized Official - Middle Name:JALIL
Authorized Official - Last Name:RANJBARI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:909-731-4634
Mailing Address - Street 1:12401 SONOMA CT
Mailing Address - Street 2:
Mailing Address - City:CHINO
Mailing Address - State:CA
Mailing Address - Zip Code:91710-2064
Mailing Address - Country:US
Mailing Address - Phone:909-731-4634
Mailing Address - Fax:
Practice Address - Street 1:12401 SONOMA CT
Practice Address - Street 2:
Practice Address - City:CHINO
Practice Address - State:CA
Practice Address - Zip Code:91710-2064
Practice Address - Country:US
Practice Address - Phone:909-731-4634
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-10-16
Last Update Date:2021-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
No343800000XTransportation ServicesSecured Medical Transport (VAN)
No344600000XTransportation ServicesTaxi
No347E00000XTransportation ServicesTransportation Broker