Kazem Aldarawsheh
Individual provider Active NPI Driver · San Bernardino, CA
NPI 1689419699 · NPPES record last updated Jul 1, 2024
Key facts
- NPI
- 1689419699
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Driver 172A00000X
- License
- F4786644 (CA)
- Practice address
- 765 S Gifford Ave Ste 2
San Bernardino, CA 92408-2461 - Phone
- (909) 735-1124
- NPI assigned
- Jul 1, 2024
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F4786644 | CA | MD | Driver |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| American Logistics Services Inc | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Driver | 172A00000X | F4786644 | CA | Yes |
Addresses
Primary practice location
765 S Gifford Ave Ste 2
San Bernardino, CA 92408-2461
Mailing address
765 S Gifford Ave Ste 2
San Bernardino, CA 92408-2461
Phone (909) 735-1124
Other providers in San Bernardino, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 1, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.