Provider Demographics
NPI:1598250227
Name:CALI-CARE LOGISTICS LLC
Entity Type:Organization
Organization Name:CALI-CARE LOGISTICS LLC
Other - Org Name:CALICARE LOGISTICS LLC
Other - Org Type:Other Name
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:MOUSTAFA
Authorized Official - Middle Name:
Authorized Official - Last Name:HARIDY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:714-333-5020
Mailing Address - Street 1:2020 W ALAMEDA AVE APT 21D
Mailing Address - Street 2:
Mailing Address - City:ANAHEIM
Mailing Address - State:CA
Mailing Address - Zip Code:92801-5326
Mailing Address - Country:US
Mailing Address - Phone:714-333-5020
Mailing Address - Fax:714-728-3755
Practice Address - Street 1:2020 W ALAMEDA AVE APT 21D
Practice Address - Street 2:
Practice Address - City:ANAHEIM
Practice Address - State:CA
Practice Address - Zip Code:92801-5326
Practice Address - Country:US
Practice Address - Phone:714-333-5020
Practice Address - Fax:714-728-3755
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-06-25
Last Update Date:2018-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA201815010028343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)