Organization
FIVE STAR MEDICAL TRANSPORT
Active
Organization
FIVE STAR MEDICAL TRANSPORT
Active
Other names
Miguel A. Magdaleno
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MIGUEL ANGEL MAGDALENO (OWNER)
(619) 429-4701
Entity
Organization
Contact information
Practice address
895 PALOMAR ST, SUITE E, CHULA VISTA, CA 91911-2627
(619) 429-4701
(619) 427-3512
Mailing address
PO BOX 752, CHULA VISTA, CA 91912-0752
(619) 429-4701
(619) 429-3512
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
MTN01126F
—
CA
Enumeration date
09/04/2006
Last updated
08/22/2020
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