Provider Demographics
NPI:1679931190
Name:ABCDE TRANSPORTATION, LLC
Entity Type:Organization
Organization Name:ABCDE TRANSPORTATION, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ALEXANDER
Authorized Official - Middle Name:
Authorized Official - Last Name:ZAKS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:562-297-0061
Mailing Address - Street 1:PO BOX 5305
Mailing Address - Street 2:
Mailing Address - City:BEVERLY HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:90209-5305
Mailing Address - Country:US
Mailing Address - Phone:562-297-0061
Mailing Address - Fax:
Practice Address - Street 1:454 S ROBERTSON BLVD STE D
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90048-3972
Practice Address - Country:US
Practice Address - Phone:562-297-0061
Practice Address - Fax:310-786-2070
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-01-29
Last Update Date:2016-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CATCP24975343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)