Healthcare Provider Details

I. General information

NPI: 1932667235
Provider Name (Legal Business Name): HAYAT MEDICAL TRANSPORTATION LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/05/2019
Last Update Date: 03/05/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9269 CAMPO RD APT 8
SPRING VALLEY CA
91977-1137
US

IV. Provider business mailing address

9269 CAMPO RD APT 8
SPRING VALLEY CA
91977-1137
US

V. Phone/Fax

Practice location:
  • Phone: 619-648-9292
  • Fax:
Mailing address:
  • Phone: 619-648-9292
  • 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: FATMA Y AAWO
Title or Position: CEO
Credential:
Phone: 619-648-9292