Provider Demographics
NPI:1679389282
Name:SOCAL MEDICAL TRANSPORTATION LLC
Entity type:Organization
Organization Name:SOCAL MEDICAL TRANSPORTATION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:BEHNAM
Authorized Official - Middle Name:SHAHMOHAMMADI
Authorized Official - Last Name:TABRIZI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:949-429-9296
Mailing Address - Street 1:3343 DURAHART ST.
Mailing Address - Street 2:
Mailing Address - City:RIVERSIDE
Mailing Address - State:CA
Mailing Address - Zip Code:92507
Mailing Address - Country:US
Mailing Address - Phone:949-429-9296
Mailing Address - Fax:951-680-9826
Practice Address - Street 1:3343 DURAHART ST.
Practice Address - Street 2:
Practice Address - City:RIVERSIDE
Practice Address - State:CA
Practice Address - Zip Code:92507
Practice Address - Country:US
Practice Address - Phone:949-429-9296
Practice Address - Fax:951-680-9826
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-12-09
Last Update Date:2024-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)