Organization
EAGLE MEDICAL TRANSPORTATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELENITA PAGUIRIGAN (PRESIDENT)
(323) 251-6031
Entity
Organization
Contact information
Practice address
5130 MOUNT HELENA AVE, LOS ANGELES, CA 90041-2331
(323) 251-6031
Mailing address
5130 MOUNT HELENA AVE, LOS ANGELES, CA 90041-2331
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
MTN01060F
—
CA
Enumeration date
02/02/2007
Last updated
08/22/2020
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