Organization
MEDIPORT LLC
Active
Organization
MEDIPORT LLC
Active
Other names
MediPort
Organization subpart
No
Provider details
NPI number
Authorized official
MR. YUSEF ATTALLA (PRESIDENT)
(313) 945-6161
Entity
Organization
Contact information
Practice address
6391 MAGNOLIA AVE # V-2, RIVERSIDE, CA 92506-2424
(313) 945-6161
Mailing address
1551 E WRIGHT CIR APT 229, ANAHEIM, CA 92806-6837
(313) 945-6161
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
09/30/2021
Last updated
09/30/2021
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