Pegasus Transport LLC
Non-emergency Medical Transport (VAN) in Stockton, CA. Organization (NPI-2).
NPI number1164097812
StatusActive
Last updated in NPPESMay 25, 2021
Details
- NPI
- 1164097812
- Entity type
- Organization (NPI-2)
- Legal business name
- Pegasus Transport LLC
- Organization subpart
- No
- Enumeration date
- May 25, 2021
- Certification date
- May 24, 2021
- Last updated
- May 25, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 343900000X | Non-emergency Medical Transport (VAN) | – | – | Yes |
Practice location
5506 Beardsley LnStockton, CA 95219-7142
Phone 415-574-6979
Mailing address
5506 Beardsley LnStockton, CA 95219-7142
Phone 415-574-6979
Authorized official
Stanley Oyewole
Sole Owner
4155746979
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