Organization
PREMIUM MEDICAL TRANSPORTATION INC.
Active
Other names
premium medical nonemergency transport
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ESMERALDA CHAVEZ (SECRETARY)
(619) 765-6184
Entity
Organization
Contact information
Practice address
270 E DOUGLAS AVE, 101, EL CAJON, CA 92020-4514
(619) 662-0563
(619) 662-0567
Mailing address
606 BLACKSHAW LN, APT-23, SAN YSIDRO, CA 92173-4503
(619) 662-0563
(619) 662-0567
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
N468
CA
Other
Enumeration date
01/25/2011
Last updated
02/12/2011
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