Provider Demographics
NPI:1710606140
Name:USA MEDICAL TRANSPORTATION LLC
Entity Type:Organization
Organization Name:USA MEDICAL TRANSPORTATION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:AMIR
Authorized Official - Middle Name:MOHAMMAD
Authorized Official - Last Name:POPAL
Authorized Official - Suffix:
Authorized Official - Credentials:MANAGER
Authorized Official - Phone:714-325-5383
Mailing Address - Street 1:3916 PENSHURST LN APT 201
Mailing Address - Street 2:
Mailing Address - City:WOODBRIDGE
Mailing Address - State:VA
Mailing Address - Zip Code:22192-6366
Mailing Address - Country:US
Mailing Address - Phone:571-513-2627
Mailing Address - Fax:
Practice Address - Street 1:3916 PENSHURST LN APT 201
Practice Address - Street 2:
Practice Address - City:WOODBRIDGE
Practice Address - State:VA
Practice Address - Zip Code:22192-6366
Practice Address - Country:US
Practice Address - Phone:571-513-2627
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-08-29
Last Update Date:2022-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)