Agustin Supplies & Services INC
Non-emergency Medical Transport (VAN) in Garden Grove, CA. Organization (NPI-2).
NPI number1992945018
StatusActive
Last updated in NPPESFeb 4, 2010
Details
- NPI
- 1992945018
- Entity type
- Organization (NPI-2)
- Legal business name
- Agustin Supplies & Services INC
- Organization subpart
- No
- Enumeration date
- Mar 2, 2009
- Last updated
- Feb 4, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 343900000X | Non-emergency Medical Transport (VAN) | Bus2009-00739 | CA | Yes |
Practice location
13281 Harbor BlvdGarden Grove, CA 92843-1719
Phone 714-281-5932 · Fax 714-281-5932
Mailing address
13281 Harbor BlvdGarden Grove, CA 92843-1719
Phone 714-281-5932 · Fax 714-281-5932
Authorized official
Gizelle Es. Gonzales
Vice President
7142815932
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