Organization
THE TRANSPORT GUY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GUY MASAMI TAKAKI L.P.N. (OWNER)
(808) 778-2169
Entity
Organization
Contact information
Practice address
94-1049 HALEAINA ST, WAIPAHU, HI 96797-5450
(808) 778-2169
(808) 688-0610
Mailing address
PO BOX 971082, WAIPAHU, HI 96797-1082
(808) 778-2169
(808) 688-0610
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
W19521008-01
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
564684
—
HI
Enumeration date
12/28/2006
Last updated
08/22/2020
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