Individual
MR. ISSAC MURRIETA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1725 OCEAN FRONT WALK, UNIT 600, SANTA MONICA, CA 90401-3100
(661) 342-2211
Mailing address
2109 4TH ST, WASCO, CA 93280-1130
(661) 342-2211
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
D6074668
CA
Other
Enumeration date
06/14/2016
Last updated
06/14/2016
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