National Provider Identifier Database

12925 HESPERIA VICTORVILLE INC
Private Vehicle

An individual paid to provide non-emergency transportation using their privately owned/leased vehicle.


Contact Information

12925 HESPERIA VICTORVILLE, INC.
2900 BRISTOL STREET BUILDING H SUITE 101
COSTA MESA, CA92626
Phone: 949-426-0093
Fax: 949-777-6479
Website:
Specialty Taxonomy Code
* Private Vehicle 347C00000X
Bus 347B00000X
Non-emergency Medical Transport (VAN) 343900000X
Taxi 344600000X
Transportation Broker 347E00000X
Transportation Network Company 342000000X

* Indicates primary specialty

NPI Profile & details for 12925 HESPERIA VICTORVILLE, INC.

NPI Number 1235984766
Legal business name
LBN
12925 HESPERIA VICTORVILLE, INC.
Authorized official RANDA ZAKY - (OWNER)
Entity Organization
Organization subpart No
Enumeration date 04/18/2024
Last updated 04/18/2024 - About 2 years ago
Sole proprietor1 Not specified
Identifiers n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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