Provider Demographics
NPI:1700951340
Name:COMMUNITY MEDICAL TRANSPORT
Entity Type:Organization
Organization Name:COMMUNITY MEDICAL TRANSPORT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:AIDA
Authorized Official - Middle Name:
Authorized Official - Last Name:NUNO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:619-271-0922
Mailing Address - Street 1:1020 MOUNT WHITNEY RD
Mailing Address - Street 2:
Mailing Address - City:CHULA VISTA
Mailing Address - State:CA
Mailing Address - Zip Code:91913-2850
Mailing Address - Country:US
Mailing Address - Phone:619-271-0922
Mailing Address - Fax:619-934-1154
Practice Address - Street 1:1020 MOUNT WHITNEY RD
Practice Address - Street 2:
Practice Address - City:CHULA VISTA
Practice Address - State:CA
Practice Address - Zip Code:91913-2850
Practice Address - Country:US
Practice Address - Phone:619-271-0922
Practice Address - Fax:619-934-1154
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-21
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)