Organization
CITY OF CORONADO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAN MATSTRO (FIRE CHIRF)
(619) 522-7374
Entity
Organization
Contact information
Practice address
1001 6TH ST, CORONADO, CA 92118-1711
(619) 522-7374
Mailing address
PO BOX 269110, SACRAMENTO, CA 95826-9110
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZZZ70368Z
—
CA
Enumeration date
06/22/2005
Last updated
10/17/2007
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