Organization
RELIABLE MEDICAL TRANSPORT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. AGNES A GONGORA (OWNER)
(619) 698-1455
Entity
Organization
Contact information
Practice address
7317 EL CAJON BLVD, LA MESA, CA 91942-7434
(619) 698-1455
(619) 460-1743
Mailing address
3717 EL CAJON BLVD, LA MESA, CA 91942
(619) 698-1455
(619) 460-1743
Taxonomy
Speciality
Code
Description
License number
State
343800000X
Secured Medical Transport (VAN)
Primary
N5490093
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
558414484
—
CA
Enumeration date
09/17/2012
Last updated
09/17/2012
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