Provider Demographics
NPI:1003636564
Name:AT YOUR SERVICE TRANSPORTATION, INC.
Entity type:Organization
Organization Name:AT YOUR SERVICE TRANSPORTATION, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:LARONDA
Authorized Official - Middle Name:D
Authorized Official - Last Name:WARNER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:916-604-1934
Mailing Address - Street 1:2752 WANDA AVE
Mailing Address - Street 2:
Mailing Address - City:SIMI VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:93065-1519
Mailing Address - Country:US
Mailing Address - Phone:916-604-1934
Mailing Address - Fax:805-285-0092
Practice Address - Street 1:2752 WANDA AVE
Practice Address - Street 2:
Practice Address - City:SIMI VALLEY
Practice Address - State:CA
Practice Address - Zip Code:93065-1519
Practice Address - Country:US
Practice Address - Phone:916-604-1934
Practice Address - Fax:805-285-0092
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-10-10
Last Update Date:2024-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)