Organization
SOUTHERN CALIFORNIA MEDICAL TRASNSPORT
Active
Other names
Southern California Medical Transport
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PHILLIP MARK RUEDA (CFO)
(909) 374-5334
Entity
Organization
Contact information
Practice address
8700 HAVEN AVE STE 2113, RANCHO CUCAMONGA, CA 91730
(909) 374-5334
(909) 980-6141
Mailing address
8700 HAVEN AVE STE 2113, RANCHO CUCAMONGA, CA 91730
(909) 563-4900
(909) 980-6141
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
07/23/2008
Last updated
07/23/2008
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