Healthcare Provider Details

I. General information

NPI: 1962204875
Provider Name (Legal Business Name): INLAND TRANSOP LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/24/2025
Last Update Date: 03/24/2025
Certification Date: 03/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7561 UNIVERSITY AVE
LA MESA CA
91942-6801
US

IV. Provider business mailing address

7561 UNIVERSITY AVE
LA MESA CA
91942-6801
US

V. Phone/Fax

Practice location:
  • Phone: 619-414-8900
  • Fax:
Mailing address:
  • Phone: 619-414-8900
  • 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: ABAS OSMAN MOHAMED
Title or Position: MANAGER
Credential:
Phone: 619-414-8900