Individual
JOEL CALING SAMATRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
800 MEMORIAL DR APT 45, SOUTH SAN FRANCISCO, CA 94080-3309
(650) 303-5619
Mailing address
800 MEMORIAL DR APT 45, SOUTH SAN FRANCISCO, CA 94080-3309
(650) 303-5619
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
4111054
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
82-4490608
IRS
CA
Enumeration date
08/30/2018
Last updated
08/30/2018
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