Esmeralda Chavez
Non-emergency Medical Transport (VAN) in Chula Vista, CA. Organization (NPI-2).
NPI number1366860207
StatusActive
Last updated in NPPESMar 28, 2014
Details
- NPI
- 1366860207
- Entity type
- Organization (NPI-2)
- Legal business name
- Esmeralda Chavez
- Organization subpart
- No
- Enumeration date
- Mar 28, 2014
- Last updated
- Mar 28, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 343900000X | Non-emergency Medical Transport (VAN) | – | CA | Yes |
Other names
- Supreme Medical Transport (Doing Business As)
Practice location
3160 Bonita Rd Apt 123Chula Vista, CA 91910-3269
Phone 619-508-8560
Mailing address
3160 Bonita Rd Apt 123Chula Vista, CA 91910-3269
Phone 619-598-8560
Authorized official
Esmeralda Chavez
Owner
6195088560
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