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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