Provider Demographics
NPI:1750911582
Name:NATIONAL TRANSPORTATION LLC
Entity type:Organization
Organization Name:NATIONAL TRANSPORTATION LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ASMEROM
Authorized Official - Middle Name:
Authorized Official - Last Name:GEBRIEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:619-948-7683
Mailing Address - Street 1:333 H ST SUITE 5000
Mailing Address - Street 2:
Mailing Address - City:CHULA VISTA
Mailing Address - State:CA
Mailing Address - Zip Code:91910-1859
Mailing Address - Country:US
Mailing Address - Phone:619-948-7683
Mailing Address - Fax:
Practice Address - Street 1:333 H ST STE 5000
Practice Address - Street 2:
Practice Address - City:CHULA VISTA
Practice Address - State:CA
Practice Address - Zip Code:91910-5561
Practice Address - Country:US
Practice Address - Phone:619-948-7683
Practice Address - Fax:619-934-8078
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-01-21
Last Update Date:2020-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)