Provider Demographics
NPI:1679382386
Name:FULL SEND LOGISTICS LLC
Entity type:Organization
Organization Name:FULL SEND LOGISTICS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:GEORGE
Authorized Official - Middle Name:SHADI
Authorized Official - Last Name:BISHARA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:909-810-8593
Mailing Address - Street 1:2308 AMITY ST
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92109-1514
Mailing Address - Country:US
Mailing Address - Phone:909-810-8593
Mailing Address - Fax:
Practice Address - Street 1:2308 AMITY ST
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92109-1514
Practice Address - Country:US
Practice Address - Phone:909-810-8593
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-07
Last Update Date:2025-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)