Organization
BROCKTON MEDICAL TRANSPORT, LLC
Active
Other names
Brockton Medical Transport, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RUFINO CARREON MARTIN (CEO)
(951) 374-0030
Entity
Organization
Contact information
Practice address
5670 SCHAEFER AVE, SUITE L, CHINO, CA 91710-9005
(951) 374-0004
(951) 374-0005
Mailing address
5670 SCHAEFER AVE, SUITE L, CHINO, CA 91710-9005
(951) 374-0004
(951) 374-0005
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
03/19/2015
Last updated
03/19/2015
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