Organization
RSWC
Active
Organization
RSWC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIM CARRELL (BILLING SUPERVISOR)
(619) 749-5189
Entity
Organization
Contact information
Practice address
9640B MISSION GORGE RD # 338, SANTEE, CA 92071-3806
(619) 749-5189
(619) 599-8300
Mailing address
1365 N JOHNSON AVE STE 116, EL CAJON, CA 92020-1649
(619) 749-5189
(619) 599-8300
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
B2011026211
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6470240
—
CA
Enumeration date
09/25/2013
Last updated
09/25/2013
Update your record
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