Organization
VIA MEDICAL TRANSPORTATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BLAINE QUIAMBAO (DIRECTOR OF OPERATION)
(415) 290-7494
Entity
Organization
Contact information
Practice address
1001 BAYHILL DR FL 2, SAN BRUNO, CA 94066-3061
(650) 921-6921
Mailing address
63 BOVET RD # 335, SAN MATEO, CA 94402-3104
(650) 921-6921
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
12/04/2011
Last updated
04/30/2012
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