Organization
ST. JUDE MEDICAL TRANSPORTATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. HANS LEE GAW (PRESIDENT)
(951) 351-9888
Entity
Organization
Contact information
Practice address
10000 INDIANA AVE, SUITE 2, RIVERSIDE, CA 92503-5419
(951) 351-9888
(951) 351-9888
Mailing address
10,000 INDIANA AVE., SUITE 2, RIVERSIDE, CA 92503-5419
(951) 351-9888
(951) 351-9888
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
MTN01260F
CA
Other
Enumeration date
10/09/2007
Last updated
10/09/2007
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