Provider Demographics
NPI:1659045797
Name:CAL MOBILITY
Entity Type:Organization
Organization Name:CAL MOBILITY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ATTIA
Authorized Official - Middle Name:MOHAMED
Authorized Official - Last Name:MATAT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:650-315-8112
Mailing Address - Street 1:851 BURLWAY RD STE 706
Mailing Address - Street 2:
Mailing Address - City:BURLINGAME
Mailing Address - State:CA
Mailing Address - Zip Code:94010-1716
Mailing Address - Country:US
Mailing Address - Phone:650-315-8112
Mailing Address - Fax:
Practice Address - Street 1:851 BURLWAY RD STE 706
Practice Address - Street 2:
Practice Address - City:BURLINGAME
Practice Address - State:CA
Practice Address - Zip Code:94010-1716
Practice Address - Country:US
Practice Address - Phone:650-315-8112
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-08-03
Last Update Date:2021-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)