Organization
VALLEY MEDI VAN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH NILAAD (OWNER)
(951) 488-0648
Entity
Organization
Contact information
Practice address
24601 IRIS AVE, MORENO VALLEY, CA 92551-7222
(951) 488-0648
(951) 488-0064
Mailing address
24601 IRIS AVE, MORENO VALLEY, CA 92551-7222
(951) 488-0648
(951) 488-0064
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
02/28/2012
Last updated
02/28/2012
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