Organization
EDEN MEDICAL TRANSPORTATION
Active
Other names
eden Medica Transportation
Organization subpart
No
Provider details
NPI number
Authorized official
MR. AWWAM M ISMAIL (MANAGER)
(510) 957-8383
Entity
Organization
Contact information
Practice address
1601 165TH AVE APT 107, SAN LEANDRO, CA 94578-3164
(510) 957-8383
Mailing address
PO BOX 3851, SAN LEANDRO, CA 94578-0851
(510) 957-8383
(510) 263-5754
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
127968
CA
Other
Enumeration date
09/05/2017
Last updated
09/05/2017
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