Healthcare Provider Details

I. General information

NPI: 1740755131
Provider Name (Legal Business Name): LOOPS TRANSPORTATION SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/11/2018
Last Update Date: 08/16/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9265 DOWDY DR
SAN DIEGO CA
92126-6370
US

IV. Provider business mailing address

PO BOX 261533
SAN DIEGO CA
92196-1533
US

V. Phone/Fax

Practice location:
  • Phone: 858-703-8555
  • Fax:
Mailing address:
  • Phone: 858-703-8555
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code171W00000X
TaxonomyContractor
License Number
License Number StateNULL

VIII. Authorized Official

Name: FARESS Y ZAWAIDEH
Title or Position: PRESIDENT
Credential:
Phone: 858-703-8555