Organization
MISSION MEDICAL TRANSPORT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JUAN CARMEN MAGDALENO SR. (OWNER)
(619) 498-0138
Entity
Organization
Contact information
Practice address
1988 RAEDEL CT, SAN DIEGO, CA 92154-2012
(619) 423-2108
(619) 429-3512
Mailing address
1988 RAEDEL CT, SAN DIEGO, CA 92154-2012
(619) 423-2108
(619) 429-3512
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
01/03/2011
Last updated
02/13/2012
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