Provider Demographics
NPI:1982059127
Name:AHMED ADDE
Entity type:Organization
Organization Name:AHMED ADDE
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:AHMED
Authorized Official - Middle Name:MUMIN
Authorized Official - Last Name:ADDE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:619-729-5213
Mailing Address - Street 1:7138 WESTVIEW PL
Mailing Address - Street 2:A
Mailing Address - City:LEMON GROVE
Mailing Address - State:CA
Mailing Address - Zip Code:91945-5400
Mailing Address - Country:US
Mailing Address - Phone:619-729-5213
Mailing Address - Fax:
Practice Address - Street 1:7138 WESTVIEW PL
Practice Address - Street 2:A
Practice Address - City:LEMON GROVE
Practice Address - State:CA
Practice Address - Zip Code:91945-5400
Practice Address - Country:US
Practice Address - Phone:619-729-5213
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-04-25
Last Update Date:2016-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)