Provider Demographics
NPI:1790677060
Name:OLEXE TRANSPORT LLC
Entity type:Organization
Organization Name:OLEXE TRANSPORT LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:OLIVER
Authorized Official - Middle Name:
Authorized Official - Last Name:NGAN
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:559-380-6641
Mailing Address - Street 1:1737 PAGOLA AVE
Mailing Address - Street 2:
Mailing Address - City:MANTECA
Mailing Address - State:CA
Mailing Address - Zip Code:95337-8628
Mailing Address - Country:US
Mailing Address - Phone:559-380-6641
Mailing Address - Fax:
Practice Address - Street 1:1737 PAGOLA AVE
Practice Address - Street 2:
Practice Address - City:MANTECA
Practice Address - State:CA
Practice Address - Zip Code:95337-8628
Practice Address - Country:US
Practice Address - Phone:559-380-6641
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-07-19
Last Update Date:2025-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)