Provider Demographics
NPI:1396376935
Name:ANGEL TRANS LLC
Entity Type:Organization
Organization Name:ANGEL TRANS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MISS
Authorized Official - First Name:ANGELA
Authorized Official - Middle Name:I
Authorized Official - Last Name:SILAYO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:916-613-5469
Mailing Address - Street 1:2740 FULTON AVE STE 214
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95821-5186
Mailing Address - Country:US
Mailing Address - Phone:916-613-5469
Mailing Address - Fax:916-568-9433
Practice Address - Street 1:2740 FULTON AVE STE 214
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95821-5186
Practice Address - Country:US
Practice Address - Phone:916-613-5469
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-02-03
Last Update Date:2020-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)