Provider Demographics
NPI:1639669427
Name:OASIS MEDICAL TRANSPORTATION LLC
Entity type:Organization
Organization Name:OASIS MEDICAL TRANSPORTATION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER-MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:AHMEDHADI
Authorized Official - Middle Name:WERAR
Authorized Official - Last Name:ABDILLE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:619-734-6493
Mailing Address - Street 1:1913 EUCLID AVE STE 102
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92105-5360
Mailing Address - Country:US
Mailing Address - Phone:619-741-9245
Mailing Address - Fax:
Practice Address - Street 1:1913 EUCLID AVE STE 102
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92105-5360
Practice Address - Country:US
Practice Address - Phone:619-576-4404
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-05-16
Last Update Date:2019-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes347C00000XTransportation ServicesPrivate Vehicle
Provider Identifiers
StateIdentifier IDID TypeIssuer
0OtherNONE