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Organization

CITY OF SAN MARINO

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MARK DONDANVILLE (FIRE CHIEF)
(626) 222-1704
Entity
Organization

Contact information

Practice address
2200 HUNTINGTON DR, SAN MARINO, CA 91108-2639
(626) 300-0735
Mailing address
PO BOX 269110, SACRAMENTO, CA 95826-9110

Taxonomy

Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
590004140
RRB
05
MTE00254F
CA
Enumeration date
07/18/2005
Last updated
12/17/2019
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