Provider Demographics
NPI:1770139578
Name:AFFINITY TRANSIT INC
Entity type:Organization
Organization Name:AFFINITY TRANSIT INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:JUVENTINO
Authorized Official - Middle Name:
Authorized Official - Last Name:SUAREZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-675-4243
Mailing Address - Street 1:444 S BRAND BLVD STE 201
Mailing Address - Street 2:
Mailing Address - City:SAN FERNANDO
Mailing Address - State:CA
Mailing Address - Zip Code:91340-3610
Mailing Address - Country:US
Mailing Address - Phone:818-800-4777
Mailing Address - Fax:
Practice Address - Street 1:444 S BRAND BLVD STE 201
Practice Address - Street 2:
Practice Address - City:SAN FERNANDO
Practice Address - State:CA
Practice Address - Zip Code:91340-3610
Practice Address - Country:US
Practice Address - Phone:818-800-4777
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-08-16
Last Update Date:2019-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)