Organization
NEW SEASON MED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIVINE OKUN (OWNER)
(415) 505-5073
Entity
Organization
Contact information
Practice address
254 OAKLAND AVE, OAKLAND, CA 94611-5529
(510) 406-7201
Mailing address
254 OAKLAND AVE, OAKLAND, CA 94611-5529
(510) 406-7201
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
D7612382
CA
Other
Enumeration date
02/26/2010
Last updated
02/26/2010
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