Provider Demographics
NPI:1801578620
Name:ABOVE AND BEYOND TRANSPORTATION INC
Entity type:Organization
Organization Name:ABOVE AND BEYOND TRANSPORTATION INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:FIDEL
Authorized Official - Middle Name:OMLANG
Authorized Official - Last Name:MIRALLES
Authorized Official - Suffix:SR
Authorized Official - Credentials:
Authorized Official - Phone:619-253-8951
Mailing Address - Street 1:4660 LA JOLLA VILLAGE DR STE 100-200
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92122-4601
Mailing Address - Country:US
Mailing Address - Phone:619-253-8951
Mailing Address - Fax:
Practice Address - Street 1:4660 LA JOLLA VILLAGE DR STE 100-200
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92122-4601
Practice Address - Country:US
Practice Address - Phone:619-253-8951
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-01
Last Update Date:2023-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)