| NPI | 1619668688 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARCELO VIVAS Authorized Agent 619-799-9474 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) |
| Enumeration Date | 2023-05-18 |
| Last Update Date | 2023-05-18 |