Organization
PATIENT TRANSPORT SERVICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. VICENTE GUILLEN (DRIVER)
(562) 619-3109
Entity
Organization
Contact information
Practice address
200 N ATLANTIC BLVD APT E, ALHAMBRA, CA 91801-3364
(562) 619-3109
Mailing address
200 N ATLANTIC BLVD APT E, ALHAMBRA, CA 91801-3364
(562) 619-3109
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
51101
CA
Other
Enumeration date
10/23/2012
Last updated
10/23/2012
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