OrganizationActive
209 Trucking Inc
NPI 1164291142 · Health Maintenance Organization · Lodi, CA
Provider details
- NPI number
- 1164291142
- Entity type
- Organization
- Primary specialty
- Health Maintenance OrganizationManaged Care Organizations
- Authorized official
- Ali Raza, Owner
Mailing address
2060 Wyndham Way
Lodi, CA 95242-4807
Registry dates
- Enumerated
- 2024-01-01
- Last updated
- 2024-01-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.