Organization
12925 HESPERIA VICTORVILLE, INC.
Active
Other names
Prime Transport
Organization subpart
No
Provider details
NPI number
Authorized official
RANDA ZAKY (OWNER)
(949) 426-0093
Entity
Organization
Contact information
Practice address
2900 BRISTOL STREET BUILDING H SUITE 101, COSTA MESA, CA 92626
(949) 426-0093
(949) 777-6479
Mailing address
2900 BRISTOL STREET BUILDING H SUITE 101, COSTA MESA, CA 92626
(949) 426-0093
(949) 777-6479
Taxonomy
Speciality
Code
Description
License number
State
342000000X
Transportation Network Company
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
344600000X
Taxi
—
—
347B00000X
Bus
—
—
347C00000X
Private Vehicle
Primary
—
—
347E00000X
Transportation Broker
—
—
Other
Enumeration date
04/18/2024
Last updated
04/18/2024
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