Organization
FAMILYTREE MEDICAL TRANSPORT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ZOWADOE MEHN EMS (OWNER/OPERATION MANAGER)
(510) 316-4226
Entity
Organization
Contact information
Practice address
8130 NEY AVE, OAKLAND, CA 94605-3505
(510) 316-4226
(510) 764-1120
Mailing address
PO BOX 21074, CASTRO VALLEY, CA 94546-9074
(510) 316-4226
(510) 764-1120
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
201013010156
CA
Other
Enumeration date
03/16/2012
Last updated
03/16/2012
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