Healthcare Provider Details

I. General information

NPI: 1972419034
Provider Name (Legal Business Name): MAS 180 LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/19/2026
Last Update Date: 08/19/2026
Certification Date: 08/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

427 QUAIL MDW
IRVINE CA
92603-4224
US

IV. Provider business mailing address

427 QUAIL MDW # 427
IRVINE CA
92603-4224
US

V. Phone/Fax

Practice location:
  • Phone: 949-994-1556
  • Fax:
Mailing address:
  • Phone: 949-994-1556
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State

VIII. Authorized Official

Name: MR. KARIM OSMAN
Title or Position: CEO
Credential:
Phone: 949-994-1556