Provider Demographics
NPI:1033391537
Name:HARIZ MEDICAL TRANSPORTATION INC
Entity Type:Organization
Organization Name:HARIZ MEDICAL TRANSPORTATION INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:CONCEPCION
Authorized Official - Middle Name:HARIZ
Authorized Official - Last Name:VELASCO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:619-726-0142
Mailing Address - Street 1:1014 OLEANDER AVE
Mailing Address - Street 2:
Mailing Address - City:CHULA VISTA
Mailing Address - State:CA
Mailing Address - Zip Code:91911-2532
Mailing Address - Country:US
Mailing Address - Phone:619-726-0142
Mailing Address - Fax:619-482-7727
Practice Address - Street 1:1014 OLEANDER AVE
Practice Address - Street 2:
Practice Address - City:CHULA VISTA
Practice Address - State:CA
Practice Address - Zip Code:91911-2532
Practice Address - Country:US
Practice Address - Phone:619-726-0142
Practice Address - Fax:619-482-7727
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-27
Last Update Date:2023-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAMTN01135FOtherMEDICAL