Provider Demographics
NPI:1356077184
Name:G.H.W.L TRANSPORT LLC
Entity Type:Organization
Organization Name:G.H.W.L TRANSPORT LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:(OWNER) NEMT PROVIDER
Authorized Official - Prefix:MR
Authorized Official - First Name:EDDIE
Authorized Official - Middle Name:
Authorized Official - Last Name:TARANGO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:323-331-0792
Mailing Address - Street 1:4135 BLANCHARD ST
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90063-1301
Mailing Address - Country:US
Mailing Address - Phone:323-331-0792
Mailing Address - Fax:
Practice Address - Street 1:4135 BLANCHARD ST
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90063-1301
Practice Address - Country:US
Practice Address - Phone:323-331-0792
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-07-25
Last Update Date:2022-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)