Provider Demographics
NPI:1831861723
Name:SERRA MEDICAL TRANSPORTATION INC.
Entity type:Organization
Organization Name:SERRA MEDICAL TRANSPORTATION INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:TALIB
Authorized Official - Middle Name:
Authorized Official - Last Name:SALAMIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:650-333-9598
Mailing Address - Street 1:1299 BAYSHORE HWY STE 230
Mailing Address - Street 2:
Mailing Address - City:BURLINGAME
Mailing Address - State:CA
Mailing Address - Zip Code:94010-1807
Mailing Address - Country:US
Mailing Address - Phone:650-333-9598
Mailing Address - Fax:650-340-8999
Practice Address - Street 1:1299 BAYSHORE HWY STE 230
Practice Address - Street 2:
Practice Address - City:BURLINGAME
Practice Address - State:CA
Practice Address - Zip Code:94010-1807
Practice Address - Country:US
Practice Address - Phone:650-333-9598
Practice Address - Fax:650-340-8999
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-09-29
Last Update Date:2021-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)