Provider Demographics
NPI:1326809369
Name:HUIZAR MEDICAL TRANSPORTATION LLC
Entity Type:Organization
Organization Name:HUIZAR MEDICAL TRANSPORTATION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ENEDINA
Authorized Official - Middle Name:
Authorized Official - Last Name:HUIZAR ARELLANO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:909-653-7953
Mailing Address - Street 1:18375 MINDANAO ST
Mailing Address - Street 2:
Mailing Address - City:BLOOMINGTON
Mailing Address - State:CA
Mailing Address - Zip Code:92316-2653
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:18375 MINDANAO ST
Practice Address - Street 2:
Practice Address - City:BLOOMINGTON
Practice Address - State:CA
Practice Address - Zip Code:92316-2653
Practice Address - Country:US
Practice Address - Phone:909-653-7953
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-17
Last Update Date:2024-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)