Organization
PRIORITY CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MATTHEW ALLEN NYBAKKEN EMT-BASIC (OPERATIONS MANAGER)
(661) 945-0520
Entity
Organization
Contact information
Practice address
41747 12TH ST W, SUITE G, PALMDALE, CA 93551-1420
(661) 945-0520
(661) 948-8476
Mailing address
PO BOX 902431, PALMDALE, CA 93590-2431
(661) 945-0520
(661) 948-8476
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
CA
Other
Enumeration date
06/23/2009
Last updated
06/23/2009
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