Organization
ITZA TRANSPORT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRAINERD EDMILSON RODRIGUEZ (OWNER)
(442) 677-9410
Entity
Organization
Contact information
Practice address
655 N PALM CANYON DR STE 216, PALM SPRINGS, CA 92262-5529
(442) 677-9410
Mailing address
2786 E TAHQUITZ CANYON WAY APT 101, PALM SPRINGS, CA 92262-7058
(442) 677-9410
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
07/31/2025
Last updated
11/25/2025
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