Provider Demographics
NPI:1841535366
Name:JONEL ENTERPRISES, LLC
Entity type:Organization
Organization Name:JONEL ENTERPRISES, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER / OPERATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:TIMOTHY
Authorized Official - Last Name:CURTIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:661-947-8981
Mailing Address - Street 1:38713 TIERRA SUBIDA AVE STE 200
Mailing Address - Street 2:PMB 242
Mailing Address - City:PALMDALE
Mailing Address - State:CA
Mailing Address - Zip Code:93551-4562
Mailing Address - Country:US
Mailing Address - Phone:661-947-8981
Mailing Address - Fax:
Practice Address - Street 1:2530 SARATOGA CT
Practice Address - Street 2:
Practice Address - City:PALMDALE
Practice Address - State:CA
Practice Address - Zip Code:93551-4609
Practice Address - Country:US
Practice Address - Phone:661-947-8981
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-12-10
Last Update Date:2012-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA201218510008OtherSTATE OF CA ENTITY ID #