Organization
KOPMED MANAGEMENT, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. IGOR KAPCHINSKIY (OWNER)
(888) 456-0707
Entity
Organization
Contact information
Practice address
3435 CAMINO DEL RIO S STE 208, SAN DIEGO, CA 92108-3911
(888) 456-0707
(858) 672-7490
Mailing address
PO BOX 19332, SAN DIEGO, CA 92159-0332
(888) 456-0707
(858) 672-7490
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
MTN01012F
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
MTN01012F
—
CA
Enumeration date
02/08/2007
Last updated
08/22/2020
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