Provider Demographics
NPI:1003267014
Name:JAUREGUI LOGISTICS LLC
Entity Type:Organization
Organization Name:JAUREGUI LOGISTICS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JOHANN
Authorized Official - Middle Name:SCATT
Authorized Official - Last Name:JAUREGUI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:310-773-2929
Mailing Address - Street 1:309 STEPNEY ST APT 1
Mailing Address - Street 2:
Mailing Address - City:INGLEWOOD
Mailing Address - State:CA
Mailing Address - Zip Code:90302-5655
Mailing Address - Country:US
Mailing Address - Phone:310-773-2929
Mailing Address - Fax:
Practice Address - Street 1:309 STEPNEY ST APT 1
Practice Address - Street 2:
Practice Address - City:INGLEWOOD
Practice Address - State:CA
Practice Address - Zip Code:90302-5655
Practice Address - Country:US
Practice Address - Phone:310-773-2929
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-06-30
Last Update Date:2016-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CABL-LIC-032253343800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343800000XTransportation ServicesSecured Medical Transport (VAN)