Provider Demographics
NPI:1578194494
Name:JOWHAR TRANSPORTATION LLC
Entity Type:Organization
Organization Name:JOWHAR TRANSPORTATION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:MOHAMED
Authorized Official - Middle Name:A
Authorized Official - Last Name:WEHELIYE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:619-337-5119
Mailing Address - Street 1:5401 BALTIMORE DR APT 54
Mailing Address - Street 2:
Mailing Address - City:LA MESA
Mailing Address - State:CA
Mailing Address - Zip Code:91942-5013
Mailing Address - Country:US
Mailing Address - Phone:619-337-5119
Mailing Address - Fax:
Practice Address - Street 1:5401 BALTIMORE DR APT 54
Practice Address - Street 2:
Practice Address - City:LA MESA
Practice Address - State:CA
Practice Address - Zip Code:91942-5013
Practice Address - Country:US
Practice Address - Phone:619-337-5119
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-01-29
Last Update Date:2020-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)