Organization
OPTIMUS ELITE CORP
Active
Other names
Elite Medical Response
Organization subpart
No
Provider details
NPI number
Authorized official
ELIJAH REED (CHIEF EXECUTIVE OFFICER)
(619) 492-9410
Entity
Organization
Contact information
Practice address
402 W BROADWAY STE 400, SAN DIEGO, CA 92101-3554
(619) 492-9410
Mailing address
312 W 2ND ST STE 3740, CASPER, WY 82601-2412
(619) 492-9410
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
05/17/2024
Last updated
05/17/2024
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