Organization
ST. MARY MAGDALENE MEDICAL TRANSPORT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OPHELIA LAURENTE (OWNER)
(562) 427-5164
Entity
Organization
Contact information
Practice address
17111 S HORST AVENUE, CERRITOS, CA 90703
(562) 449-7588
(562) 865-0128
Mailing address
P.O. BOX 786, ARTESIA, CA 90702-0786
(562) 449-7588
(562) 865-0128
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
10/10/2011
Last updated
11/14/2011
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