Healthcare Provider Details

I. General information

NPI: 1912985854
Provider Name (Legal Business Name): B AND B MEDICAL TRANSPORT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/31/2005
Last Update Date: 06/18/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

68733 PEREZ RD STE C14
CATHEDRAL CITY CA
92234-7223
US

IV. Provider business mailing address

68733 PEREZ RD STE C14
CATHEDRAL CITY CA
92234-7223
US

V. Phone/Fax

Practice location:
  • Phone: 760-992-5227
  • Fax: 760-992-5227
Mailing address:
  • Phone: 760-568-4240
  • Fax: 760-779-1984

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number StateCA

VIII. Authorized Official

Name: MRS. DIANA FINNEGAN
Title or Position: OWNER
Credential:
Phone: 760-568-4240