Organization
VICTORY MED-TRANS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AKELE FESEHA (PARTNER)
(760) 265-5545
Entity
Organization
Contact information
Practice address
19726 CHICORY CT, APPLE VALLEY, CA 92308-3629
(760) 265-5545
Mailing address
PO BOX 1214, VICTORVILLE, CA 92393-1214
(760) 265-5545
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
0609693
CA
Other
Enumeration date
05/14/2007
Last updated
08/22/2020
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