Organization
MEDSAM TRANSPORTATION
Active
Organization
MEDSAM TRANSPORTATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SEMYON PORTNOY (PRESIDENT)
(415) 561-0628
Entity
Organization
Contact information
Practice address
674 42ND AVE, SAN FRANCISCO, CA 94121-2533
(415) 561-0628
(415) 561-0621
Mailing address
674 42ND AVE, SAN FRANCISCO, CA 94121-2533
(415) 561-0628
(415) 561-0621
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
MTN01016F
CA
Other
Enumeration date
11/02/2006
Last updated
08/22/2020
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