Healthcare Provider Details

I. General information

NPI: 1568434058
Provider Name (Legal Business Name): GUARDIAN MEDICAL TRANSPORTATION, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/07/2006
Last Update Date: 05/20/2020
Certification Date: 05/20/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12121 BARRINGER ST
SOUTH EL MONTE CA
91733-4137
US

IV. Provider business mailing address

PO BOX 4817
COMPTON CA
90224-4817
US

V. Phone/Fax

Practice location:
  • Phone: 626-440-5941
  • Fax: 310-868-5103
Mailing address:
  • Phone: 626-440-5941
  • Fax: 310-868-5373

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number
License Number State

VIII. Authorized Official

Name: KATHLEEN MCNAB
Title or Position: PRESIDENT
Credential:
Phone: 310-868-5103