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Carlos A. Grande
Non-emergency Medical Transport (VAN) in San Francisco, California
NPI 1265641088

Carlos A. Grande is a Non-emergency Medical Transport (VAN) based in San Francisco, CA. Carlos A. Grande practices in San Francisco, CA. The NPI Number for Carlos A. Grande is 1265641088 and holds a License No. MTN01009F (California).

The current practice location address for Carlos A. Grande is 69 San Juan Ave, San Francisco, CA and can be reached out via phone at 415-584-2073.

Location: 69 San Juan Ave, San Francisco, CA, 94112-2615
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1265641088
Provider Name
Carlos A. Grande
Credential
Provider Entity Type
Organization
Address
69 San Juan Ave, San Francisco, CA, 94112-2615
Phone Number
415-584-2073
Fax Number
Provider Enumeration Date
05/21/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
MTN01009F 01 CA MEDI-CAL PROVIDER NUMBER
institution
Provider Business Practice Location Address Details
Address
69 San Juan Ave
City
San Francisco
State
California
Zip
94112-2615
Phone Number
415-584-2073
Fax Number
person
Provider Business Mailing Address Details
Address
69 San Juan Ave
City
San Francisco
State
California
Zip
94112-2615
Phone Number
415-584-2073
Fax Number
person
Provider's Taxonomy Details 1
Type
Transportation Services
Classification
Non-emergency Medical Transport (VAN)
Speciality
-
Taxonomy
343900000X
License No.
MTN01009F (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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