Provider Demographics
NPI:1568434058
Name:GUARDIAN MEDICAL TRANSPORTATION, INC.
Entity Type:Organization
Organization Name:GUARDIAN MEDICAL TRANSPORTATION, INC.
Other - Org Name:GUARDIAN AMBULANCE SERVICE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:KATHLEEN
Authorized Official - Middle Name:
Authorized Official - Last Name:MCNAB
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:310-868-5103
Mailing Address - Street 1:PO BOX 4817
Mailing Address - Street 2:
Mailing Address - City:COMPTON
Mailing Address - State:CA
Mailing Address - Zip Code:90224-4817
Mailing Address - Country:US
Mailing Address - Phone:626-440-5941
Mailing Address - Fax:310-868-5373
Practice Address - Street 1:12121 BARRINGER ST
Practice Address - Street 2:
Practice Address - City:SOUTH EL MONTE
Practice Address - State:CA
Practice Address - Zip Code:91733-4137
Practice Address - Country:US
Practice Address - Phone:626-440-5941
Practice Address - Fax:310-868-5103
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-02-07
Last Update Date:2020-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA590004527OtherMEDICARE RAILROAD
CAMTE00495FMedicaid