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Mr. Phominik T Lee
Private Vehicle in Sacramento, California
NPI 1609043652

Phominik T Lee is a Private Vehicle based in Sacramento, CA. Phominik T Lee practices in Sacramento, CA. The NPI Number for Phominik T Lee is 1609043652 and holds a License No. (California).

The current practice location address for Phominik T Lee is 8670 Kelwood Way, Sacramento, CA and can be reached out via phone at 916-230-8494.

Location: 8670 Kelwood Way, Sacramento, CA, 95828-3858
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1609043652
Provider Name
Phominik T Lee
Credential
Provider Entity Type
Individual
Gender
Male
Address
8670 Kelwood Way, Sacramento, CA, 95828-3858
Phone Number
916-230-8494
Fax Number
Provider Enumeration Date
05/09/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
99 05 CA
institution
Provider Business Practice Location Address Details
Address
8670 Kelwood Way
City
Sacramento
State
California
Zip
95828-3858
Phone Number
916-230-8494
Fax Number
person
Provider Business Mailing Address Details
Address
8670 Kelwood Way
City
Sacramento
State
California
Zip
95828-3858
Phone Number
916-230-8494
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Driver
Speciality
-
Taxonomy
172A00000X
License No.
(California)
Definition
A person employed to operate a motor vehicle as a carrier of persons or property.
person
Provider's Taxonomy Details 2
Type
Transportation Services
Classification
Non-emergency Medical Transport (VAN)
Speciality
-
Taxonomy
343900000X
License No.
(California)
Definition
A land vehicle with a capacity to meet special height, clearance, access, and seating, for the conveyance of persons in non-emergency situations. The vehicle may or may not be required to meet local county or state regulations.
person
Provider's Taxonomy Details 3
Type
Transportation Services
Classification
Private Vehicle
Speciality
-
Taxonomy
347C00000X
License No.
(California)
Definition
An individual paid to provide non-emergency transportation using their privately owned/leased vehicle.
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