Organization
VANTAGE TRANSPORTS, INC.
Active
Other names
VANTAGE TRANSPORTS
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAIME A GOCHOCO (PRESIDENT)
(209) 475-0708
Entity
Organization
Contact information
Practice address
460 W LARCH RD STE 12, TRACY, CA 95304-1652
(209) 475-0708
(209) 475-0709
Mailing address
460 W LARCH RD STE 12, TRACY, CA 95304-1652
(209) 475-0708
(209) 475-0709
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
C-2460479
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
MTN00904F
—
CA
Enumeration date
11/30/2006
Last updated
10/07/2014
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