Provider Demographics
NPI:1225202120
Name:JKPD ENTERPRISES LLC
Entity Type:Organization
Organization Name:JKPD ENTERPRISES LLC
Other - Org Name:ALLTRAVELERS LIMOUSINE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:FELIX
Authorized Official - Middle Name:ESTOPEL
Authorized Official - Last Name:SANTILLAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:909-973-8465
Mailing Address - Street 1:20125 TRAVELER CIR
Mailing Address - Street 2:
Mailing Address - City:WALNUT
Mailing Address - State:CA
Mailing Address - Zip Code:91789-4462
Mailing Address - Country:US
Mailing Address - Phone:909-973-8465
Mailing Address - Fax:909-598-3955
Practice Address - Street 1:20125 TRAVELER CIR
Practice Address - Street 2:
Practice Address - City:WALNUT
Practice Address - State:CA
Practice Address - Zip Code:91789-4462
Practice Address - Country:US
Practice Address - Phone:909-973-8465
Practice Address - Fax:909-598-3955
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-22
Last Update Date:2008-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CATCP 0022056-B343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)