Organization
LEGACY MEDICAL TRANSPORTATION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ISAIAH JORDAN DIAZ (OWNER)
(858) 625-1500
Entity
Organization
Contact information
Practice address
2667 CAMINO DEL RIO S STE 100C, SAN DIEGO, CA 92108-3771
(858) 625-1500
Mailing address
2667 CAMINO DEL RIO S STE 100C, SAN DIEGO, CA 92108-3771
(858) 625-1500
Taxonomy
Speciality
Code
Description
License number
State
343800000X
Secured Medical Transport (VAN)
—
—
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
344600000X
Taxi
—
—
347C00000X
Private Vehicle
—
—
Other
Enumeration date
05/30/2025
Last updated
08/22/2025
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