Healthcare Provider Details

I. General information

NPI: 1225951775
Provider Name (Legal Business Name): MA1 MEDICAL TRANSPORT LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/03/2026
Last Update Date: 08/03/2026
Certification Date: 08/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5614 MCHUGH ST
SAN DIEGO CA
92114-1840
US

IV. Provider business mailing address

342 EUCLID AVE STE 406
SAN DIEGO CA
92114-3545
US

V. Phone/Fax

Practice location:
  • Phone: 619-277-2081
  • Fax:
Mailing address:
  • Phone: 619-277-2081
  • 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: DR. YOUSEF TESFAMICHAEL ABRAHAM
Title or Position: MANAGING MEMBER
Credential: PHD
Phone: 619-277-2081