Provider Demographics
NPI:1598515900
Name:AN TAM TRANSPORTATION
Entity Type:Organization
Organization Name:AN TAM TRANSPORTATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:HAI
Authorized Official - Middle Name:HUY
Authorized Official - Last Name:BUI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:915-274-8760
Mailing Address - Street 1:12832 VALLEY VIEW ST STE 105
Mailing Address - Street 2:
Mailing Address - City:GARDEN GROVE
Mailing Address - State:CA
Mailing Address - Zip Code:92845-2535
Mailing Address - Country:US
Mailing Address - Phone:915-274-8760
Mailing Address - Fax:
Practice Address - Street 1:12832 VALLEY VIEW ST STE 105
Practice Address - Street 2:
Practice Address - City:GARDEN GROVE
Practice Address - State:CA
Practice Address - Zip Code:92845-2535
Practice Address - Country:US
Practice Address - Phone:915-274-8760
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-26
Last Update Date:2024-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
No342000000XTransportation ServicesTransportation Network Company
No347C00000XTransportation ServicesPrivate Vehicle