Provider Demographics
NPI:1245597517
Name:EASY LIFT TRANSPORTATION
Entity Type:Organization
Organization Name:EASY LIFT TRANSPORTATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:ERNESTO
Authorized Official - Middle Name:
Authorized Official - Last Name:PAREDES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:805-681-1410
Mailing Address - Street 1:53 CASS PL
Mailing Address - Street 2:STE. D
Mailing Address - City:GOLETA
Mailing Address - State:CA
Mailing Address - Zip Code:93117-3138
Mailing Address - Country:US
Mailing Address - Phone:805-681-1410
Mailing Address - Fax:805-681-1184
Practice Address - Street 1:53 CASS PL
Practice Address - Street 2:STE. D
Practice Address - City:GOLETA
Practice Address - State:CA
Practice Address - Zip Code:93117-3138
Practice Address - Country:US
Practice Address - Phone:805-681-1410
Practice Address - Fax:805-681-1184
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-04-11
Last Update Date:2012-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)