Healthcare Provider Details

I. General information

NPI: 1780316323
Provider Name (Legal Business Name): MPN INVESTMENTS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/30/2022
Last Update Date: 06/30/2022
Certification Date: 06/30/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

409 RIALTO AVE
STOCKTON CA
95207-7133
US

IV. Provider business mailing address

409 RIALTO AVE
STOCKTON CA
95207-7133
US

V. Phone/Fax

Practice location:
  • Phone: 209-561-5708
  • Fax:
Mailing address:
  • Phone: 209-561-5708
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: MR. EMMANUEL SANCHEZ
Title or Position: CEO
Credential:
Phone: 209-561-5708