Provider Demographics
NPI:1912420597
Name:GOLDEN CARE TRANSPORTATION
Entity Type:Organization
Organization Name:GOLDEN CARE TRANSPORTATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:SAMEH
Authorized Official - Middle Name:
Authorized Official - Last Name:ELGAMAL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:702-741-4688
Mailing Address - Street 1:1811 W KATELLA AVE STE 139
Mailing Address - Street 2:
Mailing Address - City:ANAHEIM
Mailing Address - State:CA
Mailing Address - Zip Code:92804-6657
Mailing Address - Country:US
Mailing Address - Phone:657-230-9606
Mailing Address - Fax:
Practice Address - Street 1:1811 W KATELLA AVE STE 139
Practice Address - Street 2:
Practice Address - City:ANAHEIM
Practice Address - State:CA
Practice Address - Zip Code:92804-6657
Practice Address - Country:US
Practice Address - Phone:657-230-9606
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-07-25
Last Update Date:2017-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)