Healthcare Provider Details

I. General information

NPI: 1083926380
Provider Name (Legal Business Name): AAA TRANSPORT, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/02/2010
Last Update Date: 07/02/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3147 JEFFERSON ST APT 6
CARLSBAD CA
92008-2406
US

IV. Provider business mailing address

3147 JEFFERSON ST APT 6
CARLSBAD CA
92008-2406
US

V. Phone/Fax

Practice location:
  • Phone: 760-801-5297
  • Fax: 760-434-1959
Mailing address:
  • Phone: 760-801-5297
  • Fax: 760-434-1959

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License NumberTCP0023421-P
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code344600000X
TaxonomyTaxi
License NumberTCP0023421-P
License Number StateCA

VIII. Authorized Official

Name: GEORGE JOSEPH DRAPEAU
Title or Position: PREIDENT
Credential:
Phone: 760-801-5297