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Organization

MEDIVAN

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. NADER S FURRHA (OWNER)
(714) 418-8949
Entity
Organization

Contact information

Practice address
13800 PARKCENTER LANE, TUSTIN, CA 92782
(714) 418-8948
Mailing address
13800 PARKCENTER LANE, TUSTIN, CA 92782
(714) 418-8948

Taxonomy

Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
99063412
CA

Other

Enumeration date
10/10/2013
Last updated
10/10/2013
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