Organization
MEDIVAN TRANSPORTATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MOHANAD ALSHAMMARY (OWNER)
(916) 793-0753
Entity
Organization
Contact information
Practice address
4020 EL CAMINO AVE STE D2, SACRAMENTO, CA 95821-6674
(916) 793-0753
Mailing address
6717 GOLDENWOOD CIR, CITRUS HEIGHTS, CA 95621-2086
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
08/21/2024
Last updated
09/04/2024
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