Healthcare Provider Details

I. General information

NPI: 1871431114
Provider Name (Legal Business Name): AE&O LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/24/2026
Last Update Date: 03/24/2026
Certification Date: 03/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9274 FRANKLIN BLVD 252
ELK GROVE CA
95758
US

IV. Provider business mailing address

9274 FRANKLIN BLVD APT 252
ELK GROVE CA
95758-5910
US

V. Phone/Fax

Practice location:
  • Phone: 916-620-4020
  • Fax:
Mailing address:
  • Phone: 916-620-4020
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code347C00000X
TaxonomyPrivate Vehicle
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code172A00000X
TaxonomyDriver
License Number
License Number State

VIII. Authorized Official

Name: BILAL ALDAWOOD
Title or Position: OWNER
Credential:
Phone: 916-620-4020