Provider Demographics
NPI:1841746153
Name:FIRST AID TRANSPORTATION LLC
Entity Type:Organization
Organization Name:FIRST AID TRANSPORTATION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGNIG MEMEBR
Authorized Official - Prefix:
Authorized Official - First Name:MOHAMMAD
Authorized Official - Middle Name:N
Authorized Official - Last Name:RABAH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:510-479-7328
Mailing Address - Street 1:1709 INTERNATIONAL BLVD STE 107
Mailing Address - Street 2:
Mailing Address - City:OAKLAND
Mailing Address - State:CA
Mailing Address - Zip Code:94606-4503
Mailing Address - Country:US
Mailing Address - Phone:510-862-1583
Mailing Address - Fax:
Practice Address - Street 1:1709 INTERNATIONAL BLVD STE 107
Practice Address - Street 2:
Practice Address - City:OAKLAND
Practice Address - State:CA
Practice Address - Zip Code:94606
Practice Address - Country:US
Practice Address - Phone:510-862-1583
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-08-27
Last Update Date:2019-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA134032343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)