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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