Healthcare Provider Details

I. General information

NPI: 1801437512
Provider Name (Legal Business Name): TRANSPORTUS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

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

III. Provider practice location address

5470 W SPRUCE AVE STE 102
FRESNO CA
93722-2115
US

IV. Provider business mailing address

5470 W SPRUCE AVE STE 102
FRESNO CA
93722-2115
US

V. Phone/Fax

Practice location:
  • Phone: 559-352-1216
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code172A00000X
TaxonomyDriver
License Number
License Number State

VIII. Authorized Official

Name: MR. LAWRENCE DAVID GARCIA
Title or Position: CEO
Credential:
Phone: 559-271-5001