Provider Demographics
NPI:1003903303
Name:VALLEY MEDICAL TRANSPORT OF KERN COUNTY
Entity Type:Organization
Organization Name:VALLEY MEDICAL TRANSPORT OF KERN COUNTY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF OPERATIONS
Authorized Official - Prefix:MS
Authorized Official - First Name:YISA
Authorized Official - Middle Name:
Authorized Official - Last Name:GARCIA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:661-873-1460
Mailing Address - Street 1:PO BOX 60558
Mailing Address - Street 2:
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93386-0558
Mailing Address - Country:US
Mailing Address - Phone:661-873-1460
Mailing Address - Fax:661-871-1067
Practice Address - Street 1:601 EUREKA ST
Practice Address - Street 2:
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93305-5811
Practice Address - Country:US
Practice Address - Phone:661-873-1460
Practice Address - Fax:661-871-1067
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:THE SOFIENE COMPANY, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-10-06
Last Update Date:2015-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA1600108145343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)