Provider Demographics
NPI:1407030612
Name:UNICORN MEDICAL TRANSPOTATION
Entity Type:Organization
Organization Name:UNICORN MEDICAL TRANSPOTATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:STEPHEN
Authorized Official - Middle Name:D
Authorized Official - Last Name:ALMOND
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:714-245-9991
Mailing Address - Street 1:999 NORTH TUSTIN AVENUE
Mailing Address - Street 2:16
Mailing Address - City:SANTA ANA
Mailing Address - State:CA
Mailing Address - Zip Code:92705
Mailing Address - Country:US
Mailing Address - Phone:714-245-9991
Mailing Address - Fax:714-245-9992
Practice Address - Street 1:999 N TUSTIN AVE
Practice Address - Street 2:16
Practice Address - City:SANTA ANA
Practice Address - State:CA
Practice Address - Zip Code:92705-3528
Practice Address - Country:US
Practice Address - Phone:714-245-9991
Practice Address - Fax:714-245-9992
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-24
Last Update Date:2007-12-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA318213343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)