Provider Demographics
NPI:1821842089
Name:TAMSAKI MEDICAL TRANSPORTATION INC
Entity Type:Organization
Organization Name:TAMSAKI MEDICAL TRANSPORTATION INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ANTHONY
Authorized Official - Middle Name:
Authorized Official - Last Name:JIM-GEORGE
Authorized Official - Suffix:
Authorized Official - Credentials:BUSINESS MANAGEMENT
Authorized Official - Phone:909-212-4865
Mailing Address - Street 1:1400 E COOLEY DR STE 207
Mailing Address - Street 2:
Mailing Address - City:COLTON
Mailing Address - State:CA
Mailing Address - Zip Code:92324-3946
Mailing Address - Country:US
Mailing Address - Phone:909-212-4865
Mailing Address - Fax:909-370-3553
Practice Address - Street 1:1400 E COOLEY DR STE 207
Practice Address - Street 2:
Practice Address - City:COLTON
Practice Address - State:CA
Practice Address - Zip Code:92324-3946
Practice Address - Country:US
Practice Address - Phone:909-212-4865
Practice Address - Fax:909-370-3553
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-15
Last Update Date:2024-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)