Provider Demographics
NPI:1497963276
Name:INTER CITY TRANSPORTATION
Entity Type:Organization
Organization Name:INTER CITY TRANSPORTATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOLE PROPRIETOR
Authorized Official - Prefix:MR
Authorized Official - First Name:MEHDI
Authorized Official - Middle Name:
Authorized Official - Last Name:FARHANG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:949-281-8887
Mailing Address - Street 1:26358 VIA ROBLE
Mailing Address - Street 2:
Mailing Address - City:MISSION VIEJO
Mailing Address - State:CA
Mailing Address - Zip Code:92691-2555
Mailing Address - Country:US
Mailing Address - Phone:949-281-8887
Mailing Address - Fax:949-458-1785
Practice Address - Street 1:26358 VIA ROBLE
Practice Address - Street 2:
Practice Address - City:MISSION VIEJO
Practice Address - State:CA
Practice Address - Zip Code:92691-2555
Practice Address - Country:US
Practice Address - Phone:949-281-8887
Practice Address - Fax:949-458-1785
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-18
Last Update Date:2008-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343800000XTransportation ServicesSecured Medical Transport (VAN)