Provider Demographics
NPI:1902586522
Name:ROYAL DIAMOND TRANSPORTATION LLC
Entity Type:Organization
Organization Name:ROYAL DIAMOND TRANSPORTATION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MUWAFAQ
Authorized Official - Middle Name:A
Authorized Official - Last Name:MUJAHED
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:650-863-3600
Mailing Address - Street 1:6277 LIDO CT
Mailing Address - Street 2:
Mailing Address - City:NEWARK
Mailing Address - State:CA
Mailing Address - Zip Code:94560-1201
Mailing Address - Country:US
Mailing Address - Phone:650-863-3600
Mailing Address - Fax:
Practice Address - Street 1:6277 LIDO CT
Practice Address - Street 2:
Practice Address - City:NEWARK
Practice Address - State:CA
Practice Address - Zip Code:94560-1201
Practice Address - Country:US
Practice Address - Phone:650-863-3600
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-07-19
Last Update Date:2023-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)