Provider Demographics
NPI:1619851391
Name:YOUTA LLC
Entity type:Organization
Organization Name:YOUTA LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:YOUNES
Authorized Official - Middle Name:
Authorized Official - Last Name:TABTI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:916-252-9279
Mailing Address - Street 1:26578 BAY AVE
Mailing Address - Street 2:
Mailing Address - City:MORENO VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:92555-3800
Mailing Address - Country:US
Mailing Address - Phone:916-252-9279
Mailing Address - Fax:
Practice Address - Street 1:852 WASHINGTON ST
Practice Address - Street 2:
Practice Address - City:PERRIS
Practice Address - State:CA
Practice Address - Zip Code:92571-8835
Practice Address - Country:US
Practice Address - Phone:916-252-9279
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-08-04
Last Update Date:2025-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)