Healthcare Provider Details

I. General information

NPI: 1154730406
Provider Name (Legal Business Name): BRITO'S TRANSPORTATION, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/11/2014
Last Update Date: 02/01/2024
Certification Date: 02/01/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1621 E 17TH ST STE A3
SANTA ANA CA
92705-8518
US

IV. Provider business mailing address

PO BOX 10395
SANTA ANA CA
92711-0395
US

V. Phone/Fax

Practice location:
  • Phone: 714-368-0871
  • Fax: 714-368-0872
Mailing address:
  • Phone: 714-368-0871
  • Fax: 714-368-0872

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code347C00000X
TaxonomyPrivate Vehicle
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code342000000X
TaxonomyTransportation Network Company
License Number
License Number StateNULL

VIII. Authorized Official

Name: ALMA ALEJANDRA BRITO
Title or Position: CHIEF FINANCIAL OFFICER
Credential:
Phone: 714-368-0871