Organization
SAN DIEGO MEDICAL SERVICES ENTERPRISE, LLC
Active
Other names
SDMSE Transportation
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SCOTT A BARTOS (PRESIDENT / CEO)
(480) 606-3525
Entity
Organization
Contact information
Practice address
10405 SAN DIEGO MISSION RD, 200, SAN DIEGO, CA 92108-2102
(619) 280-6060
Mailing address
PO BOX 53518, PHOENIX, AZ 85072-3518
(480) 606-3701
(480) 606-3677
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
590011868
RR MEDICARE
CA
05
—
MTE00934F
—
CA
Enumeration date
05/28/2006
Last updated
06/04/2014
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