| NPI | 1902512114 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AFSHIN MIRBOLOOKI Member 858-766-0778 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) |
| Additional Taxonomies | 347C00000X Private Vehicle |
| Enumeration Date | 2023-01-31 |
| Last Update Date | 2023-03-04 |