Healthcare Provider Details

I. General information

NPI: 1013757905
Provider Name (Legal Business Name): PRIORITYCARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/29/2024
Last Update Date: 05/29/2024
Certification Date: 05/28/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

270 E DOUGLAS AVE STE 110D
EL CAJON CA
92020-4514
US

IV. Provider business mailing address

270 E DOUGLAS AVE STE 110D
EL CAJON CA
92020-4514
US

V. Phone/Fax

Practice location:
  • Phone: 619-277-6647
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code344600000X
TaxonomyTaxi
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code347B00000X
TaxonomyBus
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code347C00000X
TaxonomyPrivate Vehicle
License Number
License Number State

VIII. Authorized Official

Name: NABEEL ZIDAN
Title or Position: CEO
Credential:
Phone: 619-277-6647