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Pavel Pustovoy, CEO
Non-emergency Medical Transport (VAN) in Sacramento, California
NPI 1891485900

Pavel Pustovoy is a Non-emergency Medical Transport (VAN) based in Citrus Heights, CA. Pavel Pustovoy practices in Sacramento, CA and has the professional credentials of CEO. The NPI Number for Pavel Pustovoy is 1891485900 and holds a License No. Y4856046 (California).

The current practice location address for Pavel Pustovoy is 5753 Auburn Blvd Ste 23, Sacramento, CA and can be reached out via phone at 916-790-0993.

Location: 5753 Auburn Blvd Ste 23, Sacramento, CA, 95621-5595
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1891485900
Provider Name
Pavel Pustovoy
Credential
CEO
Provider Entity Type
Individual
Gender
Male
Address
5753 Auburn Blvd Ste 23, Sacramento, CA, 95621-5595
Phone Number
916-790-0993
Fax Number
Provider Enumeration Date
05/11/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
5753 Auburn Blvd Ste 23
City
Sacramento
State
California
Zip
95841-2953
Phone Number
916-790-0993
Fax Number
person
Provider Business Mailing Address Details
Address
5753 Auburn Blvd Ste 23
City
Sacramento
State
California
Zip
95841-2953
Phone Number
916-790-0993
Fax Number
person
Provider's Taxonomy Details 1
Type
Transportation Services
Classification
Non-emergency Medical Transport (VAN)
Speciality
-
Taxonomy
343900000X
License No.
Y4856046 (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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