Provider Demographics
NPI:1235940123
Name:FA TRANSPORTATION LLC
Entity type:Organization
Organization Name:FA TRANSPORTATION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:AHMED
Authorized Official - Middle Name:
Authorized Official - Last Name:SHAALAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:801-300-7773
Mailing Address - Street 1:2396 PALISADES DR UNIT 301
Mailing Address - Street 2:
Mailing Address - City:CORONA
Mailing Address - State:CA
Mailing Address - Zip Code:92882-3694
Mailing Address - Country:US
Mailing Address - Phone:801-300-7773
Mailing Address - Fax:
Practice Address - Street 1:2396 PALISADES DR UNIT 301
Practice Address - Street 2:
Practice Address - City:CORONA
Practice Address - State:CA
Practice Address - Zip Code:92882-3694
Practice Address - Country:US
Practice Address - Phone:801-300-7773
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-18
Last Update Date:2025-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)