Organization
VEGA TRANSPORT CA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EUGENE FANGONIL (CFO)
(626) 327-0266
Entity
Organization
Contact information
Practice address
275 W HOSPITALITY LN STE 322, SAN BERNARDINO, CA 92408-3265
(909) 222-6798
(909) 296-7200
Mailing address
275 W HOSPITALITY LN STE 322, SAN BERNARDINO, CA 92408-3265
(909) 222-6798
(909) 296-7200
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
12/30/2019
Last updated
12/30/2019
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