Healthcare Provider Details

I. General information

NPI: 1285914945
Provider Name (Legal Business Name): UNITED PLUS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/25/2011
Last Update Date: 04/04/2020
Certification Date: 04/04/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3530 BREAKWATER CT
HAYWARD CA
94545-3611
US

IV. Provider business mailing address

1181 CHESS DR SUITE E
FOSTER CITY CA
94404-1150
US

V. Phone/Fax

Practice location:
  • Phone: 510-363-8992
  • Fax: 650-525-1155
Mailing address:
  • Phone: 650-525-1295
  • Fax: 650-525-1155

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number2045
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number110001024B
License Number StateCA

VIII. Authorized Official

Name: MR. CHRISTOPHER ROBIN MOESSMER
Title or Position: PRESIDENT / CEO
Credential:
Phone: 650-242-2977