Provider Demographics
NPI:1689019291
Name:METROCOM OC, INC.
Entity Type:Organization
Organization Name:METROCOM OC, INC.
Other - Org Name:METROCOM OC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:MR
Authorized Official - First Name:YASIR
Authorized Official - Middle Name:
Authorized Official - Last Name:KHALEQ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:714-499-7200
Mailing Address - Street 1:742 S. HARBOR BLVD
Mailing Address - Street 2:
Mailing Address - City:SANTA ANA
Mailing Address - State:CA
Mailing Address - Zip Code:92704-2337
Mailing Address - Country:US
Mailing Address - Phone:714-499-7200
Mailing Address - Fax:
Practice Address - Street 1:742 S HARBOR BLVD
Practice Address - Street 2:
Practice Address - City:SANTA ANA
Practice Address - State:CA
Practice Address - Zip Code:92704-2337
Practice Address - Country:US
Practice Address - Phone:714-499-7200
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-05-09
Last Update Date:2013-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)