Organization
SOUTHERN CALIFORNIA MEDICAL TRASNSPORT
Active
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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