Provider Demographics
NPI:1821825621
Name:EZ ACCESS TRANSPORT, LLC
Entity type:Organization
Organization Name:EZ ACCESS TRANSPORT, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:JESSICA
Authorized Official - Middle Name:ELISHA
Authorized Official - Last Name:DE PALMA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:661-717-5272
Mailing Address - Street 1:6214 TAHITIAN PEARL DR
Mailing Address - Street 2:
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93313-5327
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:3016 UNION AVE
Practice Address - Street 2:
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93305-3442
Practice Address - Country:US
Practice Address - Phone:661-550-2080
Practice Address - Fax:661-550-2427
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-09-16
Last Update Date:2024-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)