Provider Demographics
NPI:1841921590
Name:CHUNG KING'S TRUCKING LLC
Entity type:Organization
Organization Name:CHUNG KING'S TRUCKING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:PAYTON
Authorized Official - Middle Name:MARANNDER
Authorized Official - Last Name:LEWIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:337-793-6086
Mailing Address - Street 1:377 NAPOLEON AVE
Mailing Address - Street 2:
Mailing Address - City:SUNSET
Mailing Address - State:LA
Mailing Address - Zip Code:70584-5137
Mailing Address - Country:US
Mailing Address - Phone:337-793-6086
Mailing Address - Fax:
Practice Address - Street 1:377 NAPOLEON AVE
Practice Address - Street 2:
Practice Address - City:SUNSET
Practice Address - State:LA
Practice Address - Zip Code:70584-5137
Practice Address - Country:US
Practice Address - Phone:337-793-6086
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-06-23
Last Update Date:2022-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)