Provider Demographics
NPI:1134887318
Name:FRONTLINE MEDICAL TRANSPORTATION LLC
Entity type:Organization
Organization Name:FRONTLINE MEDICAL TRANSPORTATION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ALHASAN
Authorized Official - Middle Name:A
Authorized Official - Last Name:SMADI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:909-680-0537
Mailing Address - Street 1:6358 ECHO HILLS LN
Mailing Address - Street 2:
Mailing Address - City:FONTANA
Mailing Address - State:CA
Mailing Address - Zip Code:92336-5838
Mailing Address - Country:US
Mailing Address - Phone:909-680-0537
Mailing Address - Fax:
Practice Address - Street 1:8608 UTICA AVE STE 205
Practice Address - Street 2:
Practice Address - City:RANCHO CUCAMONGA
Practice Address - State:CA
Practice Address - Zip Code:91730-4877
Practice Address - Country:US
Practice Address - Phone:909-204-5205
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-12-04
Last Update Date:2022-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date: