Provider Demographics
NPI:1366792871
Name:GEJ VENTURES
Entity type:Organization
Organization Name:GEJ VENTURES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:OBEHI
Authorized Official - Middle Name:RITA
Authorized Official - Last Name:UDUIGWOME
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:805-582-1168
Mailing Address - Street 1:1681 ROYAL AVE
Mailing Address - Street 2:
Mailing Address - City:SIMI VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:93065-4546
Mailing Address - Country:US
Mailing Address - Phone:805-582-1168
Mailing Address - Fax:805-210-3104
Practice Address - Street 1:1681 ROYAL AVE
Practice Address - Street 2:
Practice Address - City:SIMI VALLEY
Practice Address - State:CA
Practice Address - Zip Code:93065-4546
Practice Address - Country:US
Practice Address - Phone:805-582-1168
Practice Address - Fax:805-210-3104
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-09-12
Last Update Date:2014-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)