Healthcare Provider Details

I. General information

NPI: 1972295186
Provider Name (Legal Business Name): ALL ZONE MED. TRANSPORTATION LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

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

III. Provider practice location address

1860 OAKLEY CT
STOCKTON CA
95206-6357
US

IV. Provider business mailing address

1860 OAKLEY CT
STOCKTON CA
95206-6357
US

V. Phone/Fax

Practice location:
  • Phone: 650-274-9806
  • Fax:
Mailing address:
  • Phone: 650-274-9806
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code172A00000X
TaxonomyDriver
License Number
License Number State

VIII. Authorized Official

Name: HIYAM N HASSAN
Title or Position: OPERATOR
Credential:
Phone: 650-274-9806