Provider Demographics
NPI:1760009237
Name:CITY OF BANNING
Entity Type:Organization
Organization Name:CITY OF BANNING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PURCHASING ASSISTANT
Authorized Official - Prefix:
Authorized Official - First Name:LILIANA
Authorized Official - Middle Name:
Authorized Official - Last Name:MASCORRO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:951-922-3129
Mailing Address - Street 1:PO BOX 269110
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95826-9110
Mailing Address - Country:US
Mailing Address - Phone:166-694-6079
Mailing Address - Fax:916-571-4107
Practice Address - Street 1:99 E RAMSEY ST
Practice Address - Street 2:
Practice Address - City:BANNING
Practice Address - State:CA
Practice Address - Zip Code:92220-4837
Practice Address - Country:US
Practice Address - Phone:951-922-3105
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-07-01
Last Update Date:2020-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance