Healthcare Provider Details

I. General information

NPI: 1336814540
Provider Name (Legal Business Name): ALIZAARALLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/10/2021
Last Update Date: 08/10/2021
Certification Date: 12/18/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

21515 HAWTHORNE BLVD STE 200
TORRANCE CA
90503-6512
US

IV. Provider business mailing address

1803 E OCEAN BLVD UNIT 301
LONG BEACH CA
90802-6026
US

V. Phone/Fax

Practice location:
  • Phone: 714-786-0062
  • Fax: 855-228-0450
Mailing address:
  • Phone: 714-786-0062
  • Fax: 786-980-2001

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code342000000X
TaxonomyTransportation Network Company
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State

VIII. Authorized Official

Name: SUNITA DAMANI
Title or Position: PARTNER
Credential: NA
Phone: 714-786-0062