Provider Demographics
NPI:1346730421
Name:ONE SOS MED TRANSPORT
Entity Type:Organization
Organization Name:ONE SOS MED TRANSPORT
Other - Org Name:1 SOS MED
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ADIL
Authorized Official - Middle Name:
Authorized Official - Last Name:HASSAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:916-612-9720
Mailing Address - Street 1:2752 MACON DR
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95835-2167
Mailing Address - Country:US
Mailing Address - Phone:916-612-9720
Mailing Address - Fax:916-672-0193
Practice Address - Street 1:45 GOLDEN LAND CT STE 140
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95834-2442
Practice Address - Country:US
Practice Address - Phone:916-668-8111
Practice Address - Fax:916-415-5054
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-05-15
Last Update Date:2019-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)