Organization
BUBA TRANSPORTATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROMAN NUDELMAN (OWNER)
(510) 410-5907
Entity
Organization
Contact information
Practice address
631 MAUREEN LN, PLEASANT HILL, CA 94523-2719
(510) 410-5907
Mailing address
631 MAUREEN LN, PLEASANT HILL, CA 94523-2719
(510) 410-5907
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
A6711096
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MTN01246F
PROVIDER ID NUMBER
CA
Enumeration date
04/17/2007
Last updated
08/22/2020
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