Provider Demographics
NPI:1740755131
Name:LOOPS TRANSPORTATION SERVICES
Entity Type:Organization
Organization Name:LOOPS TRANSPORTATION SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:FARESS
Authorized Official - Middle Name:Y
Authorized Official - Last Name:ZAWAIDEH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:858-703-8555
Mailing Address - Street 1:PO BOX 261533
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92196-1533
Mailing Address - Country:US
Mailing Address - Phone:858-703-8555
Mailing Address - Fax:
Practice Address - Street 1:9265 DOWDY DR
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92126-6370
Practice Address - Country:US
Practice Address - Phone:858-703-8555
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-10-11
Last Update Date:2019-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
No171W00000XOther Service ProvidersContractorGroup - Single Specialty