Provider Demographics
NPI:1437626819
Name:CARE MED TRANSPORT INC
Entity Type:Organization
Organization Name:CARE MED TRANSPORT INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:ERICSON
Authorized Official - Middle Name:
Authorized Official - Last Name:ARAULLO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:714-209-5739
Mailing Address - Street 1:9372 MERIDIAN LN
Mailing Address - Street 2:
Mailing Address - City:GARDEN GROVE
Mailing Address - State:CA
Mailing Address - Zip Code:92841-1260
Mailing Address - Country:US
Mailing Address - Phone:714-209-5739
Mailing Address - Fax:714-333-4606
Practice Address - Street 1:1811 W KATELLA AVE STE 101
Practice Address - Street 2:
Practice Address - City:ANAHEIM
Practice Address - State:CA
Practice Address - Zip Code:92804-6657
Practice Address - Country:US
Practice Address - Phone:714-209-5739
Practice Address - Fax:714-333-4606
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-10-24
Last Update Date:2018-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA=========Medicaid