Organization
MIDWAY CARE MEDICAL TRANSPORTATION INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARIA CORAZON DRAPEZA (OWNER)
(562) 863-6651
Entity
Organization
Contact information
Practice address
20134 STATE RD, CERRITOS, CA 90703-6457
(562) 863-6651
(562) 863-7751
Mailing address
PO BOX 1209, ARTESIA, CA 90702-1209
(562) 863-6651
(562) 863-7751
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
1925165
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
MTN00788F
—
CA
Enumeration date
02/12/2007
Last updated
04/27/2010
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