1598097594 NPI number — SMART MEDICAL TRANSPORT , LLC

Table of content: (NPI 1598097594)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1598097594 NPI number — SMART MEDICAL TRANSPORT , LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
SMART MEDICAL TRANSPORT , LLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
SMART MEDICAL TRANSPORT
Provider Other Organization Name Type Code:
3
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1598097594
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/03/2015
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
3802 ROSECRANS ST
Provider Second Line Business Mailing Address:
SUITE 167
Provider Business Mailing Address City Name:
SAN DIEGO
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
92110-3114
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
619-954-1124
Provider Business Mailing Address Fax Number:
858-246-7768

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
6640 LUSK BLVD
Provider Second Line Business Practice Location Address:
SUITE A207
Provider Business Practice Location Address City Name:
SAN DIEGO
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
92121-2784
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
858-246-7767
Provider Business Practice Location Address Fax Number:
858-246-7768
Provider Enumeration Date:
02/02/2010

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
RICABORDA
Authorized Official First Name:
JORGE
Authorized Official Middle Name:
Authorized Official Title or Position:
PRESIDENT-CEO
Authorized Official Telephone Number:
619-954-1124

Provider Taxonomy Codes

  • Taxonomy code: 343900000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)