Provider Demographics
NPI:1023716248
Name:ELITE MEDICAL TRANSPORT INC.
Entity type:Organization
Organization Name:ELITE MEDICAL TRANSPORT INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:ERIC
Authorized Official - Middle Name:YOUNG SIK
Authorized Official - Last Name:KIM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:925-787-0885
Mailing Address - Street 1:4111 DE PAUL CT
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95821-3212
Mailing Address - Country:US
Mailing Address - Phone:925-787-0885
Mailing Address - Fax:
Practice Address - Street 1:333 HEGENBERGER RD STE 707
Practice Address - Street 2:
Practice Address - City:OAKLAND
Practice Address - State:CA
Practice Address - Zip Code:94621-1463
Practice Address - Country:US
Practice Address - Phone:925-787-0885
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-02-16
Last Update Date:2024-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance