Organization
MAR CHARBEL LLC
Active
Other names
Mercy Medical Transportation
Organization subpart
No
Provider details
NPI number
Authorized official
SAM ATTISHA (MANAGING MEMBER)
(619) 227-2933
Entity
Organization
Contact information
Practice address
1015 EL CAJON BLVD # A, EL CAJON, CA 92020-5718
(619) 499-7723
(619) 499-7979
Mailing address
1015 EL CAJON BLVD # A, EL CAJON, CA 92020-5718
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
N7010454
D/L
CA
Enumeration date
05/18/2022
Last updated
05/18/2022
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