Organization
SUNRISE MEDICAL TRANSPORTATION, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JOSEPHINE JOSE (OWNER)
(909) 899-1440
Entity
Organization
Contact information
Practice address
9375 ARCHIBALD AVE, SUITE #210, RANCHO CUCAMONGA, CA 91730-5729
(909) 899-1440
(909) 527-4596
Mailing address
9375 ARCHIBALD AVE, SUITE #210, RANCHO CUCAMONGA, CA 91730-5729
(909) 899-1440
(909) 527-4596
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
MTN00797F
—
CA
Enumeration date
01/09/2007
Last updated
06/16/2014
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