Provider Demographics
NPI:1124895438
Name:VIP TRANS
Entity type:Organization
Organization Name:VIP TRANS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:
Authorized Official - Last Name:QUINTAL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:808-836-3391
Mailing Address - Street 1:443 KALEWA ST
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96819-1811
Mailing Address - Country:US
Mailing Address - Phone:808-836-3391
Mailing Address - Fax:808-836-4614
Practice Address - Street 1:443 KALEWA ST
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96819-1811
Practice Address - Country:US
Practice Address - Phone:808-836-3391
Practice Address - Fax:808-836-4614
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-12-06
Last Update Date:2023-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes172A00000XOther Service ProvidersDriverGroup - Single Specialty