Provider Demographics
NPI:1568765097
Name:RANA LOGISTIC TRANSPORTATION
Entity Type:Organization
Organization Name:RANA LOGISTIC TRANSPORTATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:IBRAHIM
Authorized Official - Middle Name:
Authorized Official - Last Name:BASMA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:650-333-8471
Mailing Address - Street 1:423 GATEWAY DR APT 62
Mailing Address - Street 2:
Mailing Address - City:PACIFICA
Mailing Address - State:CA
Mailing Address - Zip Code:94044-1636
Mailing Address - Country:US
Mailing Address - Phone:650-333-8471
Mailing Address - Fax:
Practice Address - Street 1:423 GATEWAY DR APT 62
Practice Address - Street 2:
Practice Address - City:PACIFICA
Practice Address - State:CA
Practice Address - Zip Code:94044-1636
Practice Address - Country:US
Practice Address - Phone:650-333-8471
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-12-05
Last Update Date:2010-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA5114343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)