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Sergey Pustovoy
Non-emergency Medical Transport (VAN) in Citrus Heights, California
NPI 1063769362

Sergey Pustovoy is a Non-emergency Medical Transport (VAN) based in Citrus Heights, CA. Sergey Pustovoy practices in Citrus Heights, CA. The NPI Number for Sergey Pustovoy is 1063769362 and holds a License No. GEN-06296 (California).

The current practice location address for Sergey Pustovoy is 7433 Greenback Ln Ste I, Citrus Heights, CA and can be reached out via phone at 916-470-8424.

Location: 7433 Greenback Ln Ste I, Citrus Heights, CA, 95621-5595
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1063769362
Provider Name
Sergey Pustovoy
Credential
Provider Entity Type
Individual
Gender
Male
Address
7433 Greenback Ln Ste I, Citrus Heights, CA, 95621-5595
Phone Number
916-470-8424
Fax Number
Provider Enumeration Date
08/07/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
7433 Greenback Ln Ste I
City
Citrus Heights
State
California
Zip
95610-5696
Phone Number
916-470-8424
Fax Number
person
Provider Business Mailing Address Details
Address
7433 Greenback Ln Ste I
City
Citrus Heights
State
California
Zip
95610-5696
Phone Number
916-470-8424
Fax Number
person
Provider's Taxonomy Details 1
Type
Transportation Services
Classification
Non-emergency Medical Transport (VAN)
Speciality
-
Taxonomy
343900000X
License No.
GEN-06296 (California)
Definition
A land vehicle with a capacity to meet special height, clearance, access, and seating, for the conveyance of persons in non-emergency situations. The vehicle may or may not be required to meet local county or state regulations.
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