Provider Demographics
NPI:1225288285
Name:B & D URRUTIA CORPORATION
Entity Type:Organization
Organization Name:B & D URRUTIA CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:BENJAMIN
Authorized Official - Middle Name:SAN AGUSTIN
Authorized Official - Last Name:URRUTIA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:949-552-3695
Mailing Address - Street 1:16 BENAVENTE
Mailing Address - Street 2:
Mailing Address - City:IRVINE
Mailing Address - State:CA
Mailing Address - Zip Code:92606-8939
Mailing Address - Country:US
Mailing Address - Phone:949-552-3695
Mailing Address - Fax:
Practice Address - Street 1:16 BENAVENTE
Practice Address - Street 2:
Practice Address - City:IRVINE
Practice Address - State:CA
Practice Address - Zip Code:92606-8939
Practice Address - Country:US
Practice Address - Phone:949-552-3695
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-09-26
Last Update Date:2008-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)