Provider Demographics
NPI:1982438487
Name:NAKI TRANSPORT SD LLC
Entity type:Organization
Organization Name:NAKI TRANSPORT SD LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:JAMESANNETTE
Authorized Official - Middle Name:P
Authorized Official - Last Name:ROJAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:619-773-3902
Mailing Address - Street 1:1610 COLUMBIA ST
Mailing Address - Street 2:
Mailing Address - City:CHULA VISTA
Mailing Address - State:CA
Mailing Address - Zip Code:91913-2606
Mailing Address - Country:US
Mailing Address - Phone:619-773-3902
Mailing Address - Fax:
Practice Address - Street 1:10089 WILLOW CREEK RD STE 200
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92131-1699
Practice Address - Country:US
Practice Address - Phone:619-773-3902
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-08-27
Last Update Date:2024-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)