Provider Demographics
NPI:1437393196
Name:CALIFORNIA ACCESS INC
Entity Type:Organization
Organization Name:CALIFORNIA ACCESS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANGER
Authorized Official - Prefix:
Authorized Official - First Name:SAM
Authorized Official - Middle Name:
Authorized Official - Last Name:FAHMY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:714-728-8613
Mailing Address - Street 1:1409 PECKHAM ST APT 19
Mailing Address - Street 2:
Mailing Address - City:FULLERTON
Mailing Address - State:CA
Mailing Address - Zip Code:92833-6207
Mailing Address - Country:US
Mailing Address - Phone:714-728-8613
Mailing Address - Fax:714-447-8144
Practice Address - Street 1:1409 PECKHAM ST APT 19
Practice Address - Street 2:
Practice Address - City:FULLERTON
Practice Address - State:CA
Practice Address - Zip Code:92833-6207
Practice Address - Country:US
Practice Address - Phone:714-728-8613
Practice Address - Fax:714-447-8144
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-04-25
Last Update Date:2009-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSG0024720343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)