Provider Demographics
NPI:1205406451
Name:COMFORT-CITY MED TRANSPORT
Entity Type:Organization
Organization Name:COMFORT-CITY MED TRANSPORT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/OPERATOR
Authorized Official - Prefix:
Authorized Official - First Name:AYORINDE
Authorized Official - Middle Name:SOLA
Authorized Official - Last Name:ARIBATISE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:323-557-6433
Mailing Address - Street 1:4557 TIPPWOOD WAY
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95842-4109
Mailing Address - Country:US
Mailing Address - Phone:323-557-6433
Mailing Address - Fax:
Practice Address - Street 1:2991 FULTON AVE STE B
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95821-4929
Practice Address - Country:US
Practice Address - Phone:916-342-6196
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-06-30
Last Update Date:2021-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)