Provider Demographics
NPI:1023368537
Name:A & F MEDICAL TRANSPORT, LLC
Entity Type:Organization
Organization Name:A & F MEDICAL TRANSPORT, LLC
Other - Org Name:A & F MEDICAL TRANSPORT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:FATUMA
Authorized Official - Middle Name:
Authorized Official - Last Name:GUYO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:619-981-2456
Mailing Address - Street 1:4081 39TH STREET #224
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92105
Mailing Address - Country:US
Mailing Address - Phone:619-981-2456
Mailing Address - Fax:
Practice Address - Street 1:4081 39TH ST APT 224
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92105-2379
Practice Address - Country:US
Practice Address - Phone:619-981-2456
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-09-12
Last Update Date:2012-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)