Provider Demographics
NPI:1437734969
Name:ABBOD ENTERPRISES INC
Entity Type:Organization
Organization Name:ABBOD ENTERPRISES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SEC
Authorized Official - Prefix:
Authorized Official - First Name:MUTHANNA
Authorized Official - Middle Name:
Authorized Official - Last Name:ABBOD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:619-792-4898
Mailing Address - Street 1:363 N 2ND ST STE 202
Mailing Address - Street 2:
Mailing Address - City:EL CAJON
Mailing Address - State:CA
Mailing Address - Zip Code:92021-6466
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:363 N 2ND ST STE 202
Practice Address - Street 2:
Practice Address - City:EL CAJON
Practice Address - State:CA
Practice Address - Zip Code:92021-6466
Practice Address - Country:US
Practice Address - Phone:619-635-0803
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-16
Last Update Date:2021-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)