Organization
SMART MEDICAL TRANSPORT , LLC
Active
Other names
Smart Medical Transport
Organization subpart
No
Provider details
NPI number
Authorized official
JORGE RICABORDA (PRESIDENT-CEO)
(619) 954-1124
Entity
Organization
Contact information
Practice address
6640 LUSK BLVD, SUITE A207, SAN DIEGO, CA 92121-2784
(858) 246-7767
(858) 246-7768
Mailing address
3802 ROSECRANS ST, SUITE 167, SAN DIEGO, CA 92110-3114
(619) 954-1124
(858) 246-7768
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
02/02/2010
Last updated
08/03/2015
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