Organization
GISELLE MEDICAL TRANSPORT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SALOMON PEREIRA (OWNER)
(760) 333-4662
Entity
Organization
Contact information
Practice address
31055 AVENIDA DEL PADRE, CATHEDRAL CITY, CA 92234-3006
(760) 333-4662
(760) 832-8739
Mailing address
PO BOX 3013, CATHEDRAL CITY, CA 92235-3013
(760) 333-4662
(760) 832-8739
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
A3645238
CA
343900000X
Non-emergency Medical Transport (VAN)
E1525643
CA
Other
Enumeration date
01/12/2017
Last updated
01/12/2017
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