Provider Demographics
NPI:1700394632
Name:MATTI TRANSPORTATION INC
Entity Type:Organization
Organization Name:MATTI TRANSPORTATION INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:WALHAN
Authorized Official - Middle Name:
Authorized Official - Last Name:MATTI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:619-971-9618
Mailing Address - Street 1:1321 GREENFIELD DR UNIT 30
Mailing Address - Street 2:
Mailing Address - City:EL CAJON
Mailing Address - State:CA
Mailing Address - Zip Code:92021-3412
Mailing Address - Country:US
Mailing Address - Phone:619-971-9618
Mailing Address - Fax:
Practice Address - Street 1:1321 GREENFIELD DR UNIT 30
Practice Address - Street 2:
Practice Address - City:EL CAJON
Practice Address - State:CA
Practice Address - Zip Code:92021-3412
Practice Address - Country:US
Practice Address - Phone:619-971-9618
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-01-12
Last Update Date:2018-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes347C00000XTransportation ServicesPrivate Vehicle