Organization
MARIA CASTILLO FIRST CLASS MOBILITY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARIA CASTILLO CITY BUS. LIC (OWNER)
(916) 670-1744
Entity
Organization
Contact information
Practice address
2132 CERMAK WAY, ELK GROVE, CA 95758-7122
(916) 670-1744
(916) 669-9379
Mailing address
PO BOX 580072, ELK GROVE, CA 95758-0002
(916) 670-1744
(916) 669-9379
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
0800005156
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MTN01120F
MEDICAL TRANSPORTATION
CA
Enumeration date
09/21/2006
Last updated
06/16/2008
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