Organization
AMD TRANSPORT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HISSAH ALDHABAN (CFO)
(949) 910-9084
Entity
Organization
Contact information
Practice address
18062 IRVINE BLVD STE 101, TUSTIN, CA 92780-3328
(714) 343-0883
(949) 203-6111
Mailing address
18062 IRVINE BLVD STE 101, TUSTIN, CA 92780-3328
(714) 343-0883
(949) 203-6111
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
10/11/2018
Last updated
10/11/2018
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