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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