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Organization

DEEPAMERICA INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. TERESITA VILLARUZ (CHIEF EXECUTIVE OFFICER)
(714) 863-5089
Entity
Organization

Contact information

Practice address
123 W BADILLO ST STE C, COVINA, CA 91723-2026
(626) 339-7035
Mailing address
123 W BADILLO ST STE C, COVINA, CA 91723-2026
(626) 339-7035

Taxonomy

Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
MTN00669F
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
MTN00669F
CA
Enumeration date
01/22/2007
Last updated
01/25/2011
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