# COAST MEDICAL TRANSPORT, INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1144885765
- **Authorized official:** GIOVANNA BOLOUKI (CHIEF OPERATING OFFICER)
- **Authorized official phone:** (619) 729-2229

## Contact information

- **Practice address:** 8733 N MAGNOLIA AVE STE 120, SANTEE, CA 92071-4524
- **Practice address phone:** (619) 258-4274
- **Mailing address:** 8733 N MAGNOLIA AVE STE 120, SANTEE, CA 92071-4524
- **Mailing address phone:** (866) 502-6278

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 341600000X | Ambulance | — | — | Yes |

## Other

- **Enumeration date:** 05/08/2019
- **Last updated:** 04/23/2020