Organization
PRN MED - TRANSPORT, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHASTINE GABIOLA (CHIEF EXECUTIVE OFFICER)
(951) 699-5114
Entity
Organization
Contact information
Practice address
41593 WINCHESTER RD STE 150, TEMECULA, CA 92590-4860
(951) 699-5114
(951) 461-8992
Mailing address
41593 WINCHESTER RD STE 200, TEMECULA, CA 92590-4857
(951) 699-5114
(951) 461-8992
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
011957
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
MTN00980F
—
CA
Enumeration date
10/02/2006
Last updated
03/05/2024
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