Organization · NPI-2
12925 Hesperia Victorville, INC.
Private Vehicle · Costa Mesa, CA
NPI number1235984766
StatusActive
Last updated in NPPESApr 18, 2024
Details
- NPI
- 1235984766
- Entity type
- Organization (NPI-2)
- Legal business name
- 12925 Hesperia Victorville, INC.
- Organization subpart
- No
- Enumeration date
- Apr 18, 2024
- Certification date
- Apr 18, 2024
- Last updated
- Apr 18, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 347C00000X | Private Vehicle | – | – | Yes |
| 342000000X | Transportation Network Company | – | – | |
| 343900000X | Non-emergency Medical Transport (VAN) | – | – | |
| 344600000X | Taxi | – | – | |
| 347B00000X | Bus | – | – | |
| 347E00000X | Transportation Broker | – | – |
Other names
- Prime Transport (Doing Business As)
Practice location
2900 Bristol Street Building H Suite 101Costa Mesa, CA 92626
Phone 949-426-0093 · Fax 949-777-6479
Mailing address
2900 Bristol Street Building H Suite 101Costa Mesa, CA 92626
Phone 949-426-0093 · Fax 949-777-6479
Authorized official
Randa Zaky
Owner
9494260093
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.