Organization
SUPREME MEDICAL TRANSPORT INC
Active
Organization
SUPREME MEDICAL TRANSPORT INC
Active
Other names
Supreme Medical Transport
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAIME RUBIO (PRESIDENT)
(619) 508-8560
Entity
Organization
Contact information
Practice address
3130 BONITA RD STE 200C, CHULA VISTA, CA 91910-3263
(619) 508-8560
(619) 662-0567
Mailing address
3130 BONITA RD STE 200C, CHULA VISTA, CA 91910-3263
(619) 508-8560
(619) 662-0567
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
N770
CA
Other
Enumeration date
02/01/2018
Last updated
05/20/2020
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