Organization
PENINSULA SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHUKRI GABA SAMATAR (PRESIDENT)
(612) 807-6852
Entity
Organization
Contact information
Practice address
548 MARKET ST # 954283, SAN FRANCISCO, CA 94104-5401
(612) 807-6852
Mailing address
1391 LINCOLN ST APT 3, SANTA CLARA, CA 95050-4651
(612) 807-6852
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
06/14/2023
Last updated
06/14/2023
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