Provider Demographics
NPI:1972751675
Name:KR PARUNGAO, INC.
Entity Type:Organization
Organization Name:KR PARUNGAO, INC.
Other - Org Name:MEDPORTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CFO, TREASURER, CO-OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:VRENELLI
Authorized Official - Middle Name:SORIANO
Authorized Official - Last Name:PARUNGAO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:415-794-9185
Mailing Address - Street 1:252 ARDENDALE DR
Mailing Address - Street 2:
Mailing Address - City:DALY CITY
Mailing Address - State:CA
Mailing Address - Zip Code:94014-1409
Mailing Address - Country:US
Mailing Address - Phone:415-859-9061
Mailing Address - Fax:415-859-9016
Practice Address - Street 1:252 ARDENDALE DR
Practice Address - Street 2:
Practice Address - City:DALY CITY
Practice Address - State:CA
Practice Address - Zip Code:94014-1409
Practice Address - Country:US
Practice Address - Phone:415-859-9061
Practice Address - Fax:415-859-9016
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-09-05
Last Update Date:2008-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA2953014343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)