Provider Demographics
NPI:1841766649
Name:UNITED MED TRANSPORTATION INC
Entity Type:Organization
Organization Name:UNITED MED TRANSPORTATION INC
Other - Org Name:UNITED TRANSPORTATION
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:EDGAR
Authorized Official - Middle Name:
Authorized Official - Last Name:PANIAGUA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:925-382-0445
Mailing Address - Street 1:640 BAILEY RD # 131
Mailing Address - Street 2:
Mailing Address - City:BAY POINT
Mailing Address - State:CA
Mailing Address - Zip Code:94565-4306
Mailing Address - Country:US
Mailing Address - Phone:925-427-9600
Mailing Address - Fax:925-384-5370
Practice Address - Street 1:2711 HILLCREST AVE STE 208
Practice Address - Street 2:
Practice Address - City:ANTIOCH
Practice Address - State:CA
Practice Address - Zip Code:94531-6372
Practice Address - Country:US
Practice Address - Phone:925-427-9600
Practice Address - Fax:925-303-2923
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-10-18
Last Update Date:2020-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)