Healthcare Provider Details

I. General information

NPI: 1598457194
Provider Name (Legal Business Name): UMAH SERVICE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/23/2023
Last Update Date: 01/24/2025
Certification Date: 01/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5386 MONTEREY HWY APT 1
SAN JOSE CA
95111-4243
US

IV. Provider business mailing address

5542 MONTEREY HWY # 234
SAN JOSE CA
95138-1529
US

V. Phone/Fax

Practice location:
  • Phone: 408-714-9720
  • Fax:
Mailing address:
  • Phone: 408-714-9720
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code344600000X
TaxonomyTaxi
License Number
License Number State

VIII. Authorized Official

Name: MOHAMED IBRAHIM
Title or Position: PRESIDENT
Credential:
Phone: 408-714-9720