Provider Demographics
NPI:1881402824
Name:VIP NON EMERGENCY MEDICAL TRANSPORTATION ,INC
Entity type:Organization
Organization Name:VIP NON EMERGENCY MEDICAL TRANSPORTATION ,INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:RAJAEI
Authorized Official - Middle Name:
Authorized Official - Last Name:ALKISWANI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:626-347-5608
Mailing Address - Street 1:1622 LUCKENBACH DR
Mailing Address - Street 2:
Mailing Address - City:FORNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75126-5106
Mailing Address - Country:US
Mailing Address - Phone:626-347-5608
Mailing Address - Fax:
Practice Address - Street 1:1622 LUCKENBACH DR
Practice Address - Street 2:
Practice Address - City:FORNEY
Practice Address - State:TX
Practice Address - Zip Code:75126-5106
Practice Address - Country:US
Practice Address - Phone:626-347-5608
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-12-23
Last Update Date:2025-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343800000XTransportation ServicesSecured Medical Transport (VAN)
No343900000XTransportation ServicesNon-emergency Medical Transport (VAN)