Provider Demographics
NPI:1629246103
Name:CARE MEDICAL TRANSPORTATION, INC
Entity Type:Organization
Organization Name:CARE MEDICAL TRANSPORTATION, INC
Other - Org Name:APT AMBULANCE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:MR
Authorized Official - First Name:MANNY
Authorized Official - Middle Name:
Authorized Official - Last Name:DIAZ-CONTI
Authorized Official - Suffix:JR
Authorized Official - Credentials:CPA
Authorized Official - Phone:858-653-4520
Mailing Address - Street 1:9770 CANDIDA ST
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92126-4536
Mailing Address - Country:US
Mailing Address - Phone:858-653-4520
Mailing Address - Fax:858-653-4537
Practice Address - Street 1:1227 S LA BREA AVE
Practice Address - Street 2:
Practice Address - City:INGLEWOOD
Practice Address - State:CA
Practice Address - Zip Code:90301-3821
Practice Address - Country:US
Practice Address - Phone:310-846-4000
Practice Address - Fax:310-846-4010
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CARE MEDICAL TRANSPORTATION, CIN
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2008-02-18
Last Update Date:2008-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA17913416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport