Provider Demographics
NPI:1447820881
Name:INB TRANSPORTATION
Entity type:Organization
Organization Name:INB TRANSPORTATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LVN
Authorized Official - Prefix:
Authorized Official - First Name:NICHELLE
Authorized Official - Middle Name:
Authorized Official - Last Name:BONAM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:562-619-0483
Mailing Address - Street 1:9615 TOLLY ST
Mailing Address - Street 2:
Mailing Address - City:BELLFLOWER
Mailing Address - State:CA
Mailing Address - Zip Code:90706-2349
Mailing Address - Country:US
Mailing Address - Phone:562-619-0483
Mailing Address - Fax:
Practice Address - Street 1:9615 TOLLY ST
Practice Address - Street 2:
Practice Address - City:BELLFLOWER
Practice Address - State:CA
Practice Address - Zip Code:90706-2349
Practice Address - Country:US
Practice Address - Phone:562-619-0483
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-06-28
Last Update Date:2021-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes164X00000XNursing Service ProvidersLicensed Vocational NurseGroup - Single Specialty