# SAN DIEGO MEDICAL SERVICES ENTERPRISE, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** SDMSE Transportation
- **Organization subpart:** No

## Provider details

- **NPI number:** 1356398978
- **Authorized official:** MR. SCOTT A BARTOS (PRESIDENT / CEO)
- **Authorized official phone:** (480) 606-3525

## Contact information

- **Practice address:** 10405 SAN DIEGO MISSION RD, 200, SAN DIEGO, CA 92108-2102
- **Practice address phone:** (619) 280-6060
- **Mailing address:** PO BOX 53518, PHOENIX, AZ 85072-3518
- **Mailing address phone:** (480) 606-3701
- **Mailing address fax:** (480) 606-3677

## Taxonomy

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

## Other

- **Enumeration date:** 05/28/2006
- **Last updated:** 06/04/2014

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 590011868 | RR MEDICARE | CA |
| 05 | — | MTE00934F | — | CA |