Organization
IMMACULATE MEDICAL TRANSPORTATION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JADE A INGUITO (OWNER)
(714) 414-8460
Entity
Organization
Contact information
Practice address
16579 SIR BARTON WAY, MORENO VALLEY, CA 92551-2535
(714) 414-8460
Mailing address
16579 SIR BARTON WAY, MORENO VALLEY, CA 92551-2535
(714) 414-8460
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
08/25/2025
Last updated
08/25/2025
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