Organization
SPRY TRANSPORT INC
Active
Other names
Spry Mobility
Organization subpart
No
Provider details
NPI number
Authorized official
GHAZALA KHALEEQUE (VICE PRESIDENT)
(949) 300-2987
Entity
Organization
Contact information
Practice address
14252 CULVER DR, SUITE # A-253, IRVINE, CA 92604-0317
(949) 735-4400
Mailing address
14252 CULVER DR, SUITE # A-253, IRVINE, CA 92604-0317
(949) 735-4400
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
344600000X
Taxi
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NEW APPLICANT
NEW APPLICANT
CA
Enumeration date
04/20/2017
Last updated
04/20/2017
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