Provider Demographics
NPI:1619384070
Name:EZ TRANSIT SHUTTLE SERVICES
Entity Type:Organization
Organization Name:EZ TRANSIT SHUTTLE SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MONA
Authorized Official - Middle Name:
Authorized Official - Last Name:ALFARDI
Authorized Official - Suffix:
Authorized Official - Credentials:MPH
Authorized Official - Phone:510-499-2990
Mailing Address - Street 1:1515 AURORA DR STE 201H
Mailing Address - Street 2:
Mailing Address - City:SAN LEANDRO
Mailing Address - State:CA
Mailing Address - Zip Code:94577-3105
Mailing Address - Country:US
Mailing Address - Phone:510-589-3629
Mailing Address - Fax:
Practice Address - Street 1:1515 AURORA DR STE 201H
Practice Address - Street 2:
Practice Address - City:SAN LEANDRO
Practice Address - State:CA
Practice Address - Zip Code:94577-3105
Practice Address - Country:US
Practice Address - Phone:510-589-3629
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-07-17
Last Update Date:2014-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)