Organization
TLC MEDICAL TRANSPORT LLC
Active
Organization
TLC MEDICAL TRANSPORT LLC
Active
Other names
TLC Medical Transport
Organization subpart
No
Provider details
NPI number
Authorized official
DOUGLAS SWEENEY (OPERATIONS MANAGER)
(619) 284-7433
Entity
Organization
Contact information
Practice address
6312 RIVERDALE ST, SAN DIEGO, CA 92120-3310
(619) 284-7433
(619) 284-7437
Mailing address
6312 RIVERDALE ST, SAN DIEGO, CA 92120-3310
(619) 284-7433
(619) 284-7437
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
—
—
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
380674
MEDI-CAL
CA
Enumeration date
04/29/2009
Last updated
05/29/2019
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