Provider Demographics
NPI:1952810293
Name:ZEITOUN, DANNI
Entity Type:Individual
Prefix:
First Name:DANNI
Middle Name:
Last Name:ZEITOUN
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:249 AMBER CT APT 5
Mailing Address - Street 2:
Mailing Address - City:UPLAND
Mailing Address - State:CA
Mailing Address - Zip Code:91786-3866
Mailing Address - Country:US
Mailing Address - Phone:909-767-7676
Mailing Address - Fax:
Practice Address - Street 1:249 AMBER CT APT 5
Practice Address - Street 2:
Practice Address - City:UPLAND
Practice Address - State:CA
Practice Address - Zip Code:91786-3866
Practice Address - Country:US
Practice Address - Phone:775-375-5715
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-09-28
Last Update Date:2017-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)