Organization
OH PHUKET
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JUAN ANTONIO QUIROZ JR. (CEO)
(619) 865-0445
Entity
Organization
Contact information
Practice address
401 RYLAND ST STE 200A, RENO, NV 89502-1643
(619) 865-0445
Mailing address
1406 SCOTT DR, NATIONAL CITY, CA 91950-1627
(619) 865-0445
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
341600000X
Ambulance
—
—
3416A0800X
Air Ambulance
—
—
3416L0300X
Land Ambulance
—
—
3416S0300X
Water Ambulance
—
—
Other
Enumeration date
01/04/2019
Last updated
01/04/2019
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