Healthcare Provider Details

I. General information

NPI: 1831913029
Provider Name (Legal Business Name): APOSTLES TRANSPORT SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/13/2024
Last Update Date: 11/20/2024
Certification Date: 11/20/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3530 ATLANTIC AVE
LONG BEACH CA
90807-4569
US

IV. Provider business mailing address

1108 E 84TH PL
LOS ANGELES CA
90001-3722
US

V. Phone/Fax

Practice location:
  • Phone: 323-503-6167
  • Fax:
Mailing address:
  • Phone: 323-503-6167
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code342000000X
TaxonomyTransportation Network Company
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code344600000X
TaxonomyTaxi
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code347C00000X
TaxonomyPrivate Vehicle
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State

VIII. Authorized Official

Name: IJEOMA EZENAGU
Title or Position: PRESIDENT
Credential:
Phone: 323-503-6167