Organization
CHAMPION MEDICAL TRANSPORT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL EDWARD INOCENCIO (CEO)
(626) 422-0528
Entity
Organization
Contact information
Practice address
2001 OXFORD AVE APT 7, FULLERTON, CA 92831-1633
(626) 422-0528
Mailing address
2001 OXFORD AVE APT 7, FULLERTON, CA 92831-1633
(626) 422-0528
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
11/13/2023
Last updated
11/13/2023
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