Provider Demographics
NPI:1174960702
Name:PACIFIC HEALTH TRANSPORTATION & LANGUAGE INTERPRETATION
Entity type:Organization
Organization Name:PACIFIC HEALTH TRANSPORTATION & LANGUAGE INTERPRETATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:MR
Authorized Official - First Name:RAHUL
Authorized Official - Middle Name:
Authorized Official - Last Name:KUNWAR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:916-642-2050
Mailing Address - Street 1:9941 DOVE SHELL WAY
Mailing Address - Street 2:
Mailing Address - City:ELK GROVE
Mailing Address - State:CA
Mailing Address - Zip Code:95757-6283
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:7636 MASTERS ST
Practice Address - Street 2:
Practice Address - City:ELK GROVE
Practice Address - State:CA
Practice Address - Zip Code:95758-7244
Practice Address - Country:US
Practice Address - Phone:916-642-2050
Practice Address - Fax:187-721-0621
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-05-22
Last Update Date:2013-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA5000001042347E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes347E00000XTransportation ServicesTransportation Broker