Manareteleslam Alyan

Individual provider Active NPI Driver · San Diego, CA

NPI 1962147355 · NPPES record last updated May 1, 2022

Key facts

NPI
1962147355
Entity type
Individual (NPI type 1)
Primary specialty
Driver 172A00000X
Practice address
9845 Jake LN Apt 10107
San Diego, CA 92126-2848
Phone
(609) 510-6849
NPI assigned
May 1, 2022
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Dokka Transportation LLC Current
since May 8, 2022
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Driver 172A00000X Yes

Addresses

Primary practice location

9845 Jake LN Apt 10107
San Diego, CA 92126-2848

Mailing address

9845 Jake LN Apt 10107
San Diego, CA 92126-2848
Phone (609) 510-6849

Other providers in San Diego, CA

All providers in San Diego, CA · Driver in California

Sources for this page

Verify at the official NPI Registry.