Healthcare Provider Details

I. General information

NPI: 1205361888
Provider Name (Legal Business Name): SPRY TRANSPORT INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/20/2017
Last Update Date: 04/20/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14252 CULVER DR SUITE # A-253
IRVINE CA
92604-0317
US

IV. Provider business mailing address

14252 CULVER DR SUITE # A-253
IRVINE CA
92604-0317
US

V. Phone/Fax

Practice location:
  • Phone: 949-735-4400
  • Fax:
Mailing address:
  • Phone: 949-735-4400
  • 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

VIII. Authorized Official

Name: GHAZALA KHALEEQUE
Title or Position: VICE PRESIDENT
Credential:
Phone: 949-300-2987