Healthcare Provider Details

I. General information

NPI: 1477462240
Provider Name (Legal Business Name): DEDICATED NON MEDICAL TRANSPORT, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/05/2026
Last Update Date: 09/05/2026
Certification Date: 09/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1110 W KETTLEMAN LN # 34-4
LODI CA
95240-6031
US

IV. Provider business mailing address

1030 S HUTCHINS ST STE 4-314
LODI CA
95240-5254
US

V. Phone/Fax

Practice location:
  • Phone: 209-443-4571
  • Fax:
Mailing address:
  • Phone: 209-443-4571
  • 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: HARJEET SONNY SINGH
Title or Position: CEO
Credential:
Phone: 209-443-4571