Healthcare Provider Details

I. General information

NPI: 1366364150
Provider Name (Legal Business Name): BOON TRANSPORT SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/27/2026
Last Update Date: 07/27/2026
Certification Date: 07/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1712 SWEETLEAF LN
SIMI VALLEY CA
93065-3052
US

IV. Provider business mailing address

1712 SWEETLEAF LN
SIMI VALLEY CA
93065-3052
US

V. Phone/Fax

Practice location:
  • Phone: 805-551-0077
  • Fax:
Mailing address:
  • Phone: 805-551-0077
  • 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: PETER E BOON II
Title or Position: OWNER/OPERATOR
Credential:
Phone: 805-551-0077