Organization
CONEJOMEDTRANS,INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. GILLIANA SHERMAN (CORPORATE SECRETARY/TREASURER)
(805) 558-6868
Entity
Organization
Contact information
Practice address
190 E HILLCREST DR, THOUSAND OAKS, CA 91360-5839
(805) 494-9080
(805) 373-3952
Mailing address
190 E HILLCREST DR, THOUSAND OAKS, CA 91360-5839
(805) 494-9080
(805) 373-3952
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
2782676
CA
Other
Enumeration date
03/25/2008
Last updated
03/25/2008
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