Healthcare Provider Details

I. General information

NPI: 1982920542
Provider Name (Legal Business Name): ALWAHA TRAVEL AGENCY FOR HAJJ AND UMRAH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/07/2010
Last Update Date: 04/07/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

60 98TH AVE STE 100
OAKLAND CA
94603-1000
US

IV. Provider business mailing address

60 98TH AVE STE 100
OAKLAND CA
94603-1000
US

V. Phone/Fax

Practice location:
  • Phone: 510-382-0210
  • Fax:
Mailing address:
  • Phone: 510-382-0210
  • 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. MAGDI MOHEYELDIN OSMAN
Title or Position: PRESIDENT
Credential:
Phone: 510-382-0210