=====================================================
General NPI Number Information
=====================================================
NPI Number | 1790693927
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | AC MEDICAL EXPRESS LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 08/29/2026
-----------------------------------------------------
Last Update Date | 08/29/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1320 ROAD 20 APT 13
-----------------------------------------------------
City | SAN PABLO
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 94806-3432
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 240-565-9808
-----------------------------------------------------
Fax | 240-565-9808
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 1320 ROAD 20 APT 13
-----------------------------------------------------
City | SAN PABLO
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 94806-3432
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 240-565-9808
-----------------------------------------------------
Fax | 240-565-9808
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | MR
-----------------------------------------------------
Name | ANTOINE M HIONG
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 240-565-9808
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 342000000X
-----------------------------------------------------
Taxonomy Name | Transportation Network Company
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------