Provider Demographics
NPI:1912719436
Name:NAS MED TRANS LLC
Entity type:Organization
Organization Name:NAS MED TRANS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:HIDAYA
Authorized Official - Middle Name:SELMA
Authorized Official - Last Name:SHILLEH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-862-1391
Mailing Address - Street 1:829 S LEMON AVE STE A11C
Mailing Address - Street 2:
Mailing Address - City:DIAMOND BAR
Mailing Address - State:CA
Mailing Address - Zip Code:91789-2901
Mailing Address - Country:US
Mailing Address - Phone:818-862-1391
Mailing Address - Fax:
Practice Address - Street 1:829 S LEMON AVE STE A11C
Practice Address - Street 2:
Practice Address - City:DIAMOND BAR
Practice Address - State:CA
Practice Address - Zip Code:91789-2901
Practice Address - Country:US
Practice Address - Phone:818-862-1391
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-22
Last Update Date:2025-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)