Healthcare Provider Details

I. General information

NPI: 1316502461
Provider Name (Legal Business Name): ALOHA MED TRANSPORTATION LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/03/2019
Last Update Date: 10/30/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

270 E DOUGLAS AVE STE 100F
EL CAJON CA
92020-4514
US

IV. Provider business mailing address

270 E DOUGLAS AVE STE 100F
EL CAJON CA
92020-4514
US

V. Phone/Fax

Practice location:
  • Phone: 619-792-2636
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: RANS SHAAYA
Title or Position: CEO
Credential:
Phone: 619-792-2636