Provider Demographics
NPI:1467978445
Name:M&J MEDICAL TRANSPORTATION CORP
Entity Type:Organization
Organization Name:M&J MEDICAL TRANSPORTATION CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:GORA
Authorized Official - Middle Name:
Authorized Official - Last Name:MANDEEP SINGH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:951-710-4714
Mailing Address - Street 1:13800 HEACOCK ST STE C230J
Mailing Address - Street 2:
Mailing Address - City:MORENO VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:92553-3339
Mailing Address - Country:US
Mailing Address - Phone:951-710-4714
Mailing Address - Fax:
Practice Address - Street 1:13800 HEACOCK ST STE C230J
Practice Address - Street 2:
Practice Address - City:MORENO VALLEY
Practice Address - State:CA
Practice Address - Zip Code:92553-3339
Practice Address - Country:US
Practice Address - Phone:951-710-4714
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-08-21
Last Update Date:2019-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)