Provider Demographics
NPI:1598475584
Name:ABOVE MEDICAL TRANSPORTATION
Entity Type:Organization
Organization Name:ABOVE MEDICAL TRANSPORTATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:BERNARD
Authorized Official - Middle Name:
Authorized Official - Last Name:NICOLAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:213-265-1653
Mailing Address - Street 1:99 N SAN ANTONIO AVE STE 360
Mailing Address - Street 2:
Mailing Address - City:UPLAND
Mailing Address - State:CA
Mailing Address - Zip Code:91786-4579
Mailing Address - Country:US
Mailing Address - Phone:909-808-4041
Mailing Address - Fax:909-808-4040
Practice Address - Street 1:99 N SAN ANTONIO AVE STE 360
Practice Address - Street 2:
Practice Address - City:UPLAND
Practice Address - State:CA
Practice Address - Zip Code:91786-4579
Practice Address - Country:US
Practice Address - Phone:909-808-4041
Practice Address - Fax:909-808-4040
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-11-30
Last Update Date:2022-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)