Organization
OPEN DOOR MEDICAL TRANSPORTATION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. NICOLAS SEAN LOSENICKY (OWNER OPERATOR)
(916) 203-2383
Entity
Organization
Contact information
Practice address
818 EQUINOX LOOP, LINCOLN, CA 95648-2984
(916) 203-2383
Mailing address
818 EQUINOX LOOP, LINCOLN, CA 95648-2984
(916) 203-2383
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
07/28/2017
Last updated
07/21/2022
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