Provider Demographics
NPI:1992103360
Name:SADDLEBACK TRANSPORTATION, INC.
Entity type:Organization
Organization Name:SADDLEBACK TRANSPORTATION, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:E
Authorized Official - Last Name:METHE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:949-922-1577
Mailing Address - Street 1:23046 AVENIDA DE LA CARLOTA - SUITE 600
Mailing Address - Street 2:
Mailing Address - City:LAGUNA HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:92653
Mailing Address - Country:US
Mailing Address - Phone:949-922-1577
Mailing Address - Fax:949-535-1820
Practice Address - Street 1:23046 AVENIDA DE LA CARLOTA - SUITE 600
Practice Address - Street 2:
Practice Address - City:LAGUNA HILLS
Practice Address - State:CA
Practice Address - Zip Code:92653
Practice Address - Country:US
Practice Address - Phone:949-922-1577
Practice Address - Fax:949-535-1820
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-12-16
Last Update Date:2014-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA7ALJ388343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)