Provider Demographics
NPI:1033556121
Name:AMERICAN GROUND TRANSPORTATION, INC.
Entity Type:Organization
Organization Name:AMERICAN GROUND TRANSPORTATION, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:KONSTANTINOS
Authorized Official - Middle Name:
Authorized Official - Last Name:RODITIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:949-922-5176
Mailing Address - Street 1:1767 N BATAVIA ST
Mailing Address - Street 2:
Mailing Address - City:ORANGE
Mailing Address - State:CA
Mailing Address - Zip Code:92865-4103
Mailing Address - Country:US
Mailing Address - Phone:714-279-0192
Mailing Address - Fax:714-279-9652
Practice Address - Street 1:1767 N BATAVIA ST
Practice Address - Street 2:
Practice Address - City:ORANGE
Practice Address - State:CA
Practice Address - Zip Code:92865-4103
Practice Address - Country:US
Practice Address - Phone:714-279-0192
Practice Address - Fax:714-279-9652
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-05-29
Last Update Date:2013-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA60343900000X, 344600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes344600000XTransportation ServicesTaxi
No343900000XTransportation ServicesNon-emergency Medical Transport (VAN)