Provider Demographics
NPI:1326074923
Name:METRO MEDICAL TRANSPORTATION SERVICE,INC
Entity Type:Organization
Organization Name:METRO MEDICAL TRANSPORTATION SERVICE,INC
Other - Org Name:NONE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:ANTONIO
Authorized Official - Middle Name:G
Authorized Official - Last Name:RAMOS
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:310-830-5822
Mailing Address - Street 1:357 E CARSON ST
Mailing Address - Street 2:SUITE 103
Mailing Address - City:CARSON
Mailing Address - State:CA
Mailing Address - Zip Code:90745-2745
Mailing Address - Country:US
Mailing Address - Phone:310-830-5822
Mailing Address - Fax:562-494-4707
Practice Address - Street 1:357 E CARSON ST
Practice Address - Street 2:SUITE 103
Practice Address - City:CARSON
Practice Address - State:CA
Practice Address - Zip Code:90745-2745
Practice Address - Country:US
Practice Address - Phone:310-830-5822
Practice Address - Fax:562-494-4707
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-24
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMTN00713F343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA9827126Medicaid