Organization
NILAND
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NINA PATEL (MANAGER)
(510) 769-9648
Entity
Organization
Contact information
Practice address
8072 LUXOR AVE, NILAND, CA 92257
(510) 769-9648
Mailing address
PO BOX 249, ALAMEDA, CA 94501-9349
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
MTE00412F
—
CA
Enumeration date
01/02/2007
Last updated
08/22/2020
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