Organization
MED-CAB, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN DIAZ (PRESIDENT)
(760) 951-3594
Entity
Organization
Contact information
Practice address
14242 OXFORD PL, VICTORVILLE, CA 92395-4331
(760) 951-3594
Mailing address
14242 OXFORD PL, VICTORVILLE, CA 92395-4331
(760) 951-3594
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
00002826
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CGP167867
CALIFORNIA CHILDREN SERV
CA
Enumeration date
05/10/2007
Last updated
08/22/2020
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