WTL Transport Corp

Primary specialty

DriverTaxonomy code 172A00000X

Legal business name

WTL TRANSPORT CORP

Practice address

154 Junipero Serra Dr
San Gabriel, CA 91776-1209

Phone

(626) 877-2791

NPI assigned

Jan 13, 2023

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Joel Duque-Doporto

Title

Ceo

Phone

(626) 626-3802

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1673568000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1673568000000",
    "number": "1043924079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "154 JUNIPERO SERRA DR",
            "city": "SAN GABRIEL",
            "state": "CA",
            "postal_code": "917761209",
            "telephone_number": "626-877-2791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "154 JUNIPERO SERRA DR",
            "city": "SAN GABRIEL",
            "state": "CA",
            "postal_code": "917761209",
            "telephone_number": "626-877-2791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WTL TRANSPORT CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-13",
        "last_updated": "2023-01-13",
        "certification_date": "2023-01-13",
        "status": "A",
        "authorized_official_last_name": "DUQUE-DOPORTO",
        "authorized_official_first_name": "JOEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "626-626-3802"
    },
    "taxonomies": [
        {
            "code": "172A00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Driver",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Driver in San Gabriel, CA
• Providers in San Gabriel, CA by specialty
• Driver in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.