Organization
LIFE CARE MEDICAL TRANSPORT, LLC
Active
Other names
Life Care Medical Transport
Organization subpart
No
Provider details
NPI number
Authorized official
ANTHONY SALAZAR (OWNER)
(619) 277-1535
Entity
Organization
Contact information
Practice address
727 E SAN YSIDRO BLVD # 148, SAN YSIDRO, CA 92173-3144
(619) 277-1535
Mailing address
727 E SAN YSIDRO BLVD # 148, SAN YSIDRO, CA 92173-3144
(619) 277-1535
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
N798
CA
Other
Enumeration date
05/25/2015
Last updated
05/25/2015
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