Organization
KEALSA TRANSPORTATION SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GILDA S SHAIKHVAND (OWNER)
(619) 277-0864
Entity
Organization
Contact information
Practice address
13772 FONTANELLE PL, SAN DIEGO, CA 92128-4741
(619) 277-0864
Mailing address
PO BOX 501374, SAN DIEGO, CA 92150-1374
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
03/23/2023
Last updated
03/23/2023
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