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Organization
SAN DIEGO MEDICAL SERVICES ENTERPRISE, LLC
Active
Organization
SAN DIEGO MEDICAL SERVICES ENTERPRISE, LLC
Active
Other names
SDMSE Transportation
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SCOTT A BARTOS (PRESIDENT / CEO)
(480) 606-3525
Entity
Organization
Contact information
Practice address
10405 SAN DIEGO MISSION RD, 200, SAN DIEGO, CA 92108-2102
(619) 280-6060
Mailing address
PO BOX 53518, PHOENIX, AZ 85072-3518
(480) 606-3701
(480) 606-3677
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
590011868
RR MEDICARE
CA
05
—
MTE00934F
—
CA
Enumeration date
05/28/2006
Last updated
06/04/2014
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