Organization
IMPERIAL AGENCY
Active
Organization
IMPERIAL AGENCY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HUSSEIN BASMA (OWNER)
(714) 981-1010
Entity
Organization
Contact information
Practice address
10136 BRENNA WAY, ELK GROVE, CA 95757-5957
(714) 981-1010
Mailing address
10136 BRENNA WAY, ELK GROVE, CA 95757-5957
(650) 222-3755
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
03/24/2020
Last updated
07/02/2025
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