Mission Palm'S Transportation LLC

Primary specialty

Private VehicleTaxonomy code 347C00000X

Legal business name

MISSION PALM'S TRANSPORTATION LLC

Practice address

4265 Fairmount Ave Ste 120a
San Diego, CA 92105-6401

Phone

(619) 942-4414

NPI assigned

Mar 2, 2015

Organization subpart

No

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

Authorized official

Name

Ahmed Idlle

Title

Owner-Manager

Phone

(619) 942-4414

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1425254400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1425254400000",
    "number": "1285026112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5922 RANCHO MISSION RD UNIT 66",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921082518",
            "telephone_number": "619-942-4414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4265 FAIRMOUNT AVE STE 120A",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921056401",
            "telephone_number": "619-942-4414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MISSION PALM'S TRANSPORTATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-02",
        "last_updated": "2015-03-02",
        "status": "A",
        "authorized_official_last_name": "IDLLE",
        "authorized_official_first_name": "AHMED",
        "authorized_official_title_or_position": "OWNER-MANAGER",
        "authorized_official_telephone_number": "619-942-4414"
    },
    "taxonomies": [
        {
            "code": "347C00000X",
            "taxonomy_group": "",
            "desc": "Private Vehicle",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mission Pharmacy & Compounding, LTD
• Mission Psychological Services, Inc
• Mission Surgical, Inc.
• Mission Treatment Services, Inc.
• Mission Valley Counseling Associates, Inc

• Private Vehicle in San Diego, CA
• Providers in San Diego, CA by specialty
• Private Vehicle in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2015; 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.