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Fernando Botero
Non-emergency Medical Transport (VAN) in Fontana, California
NPI 1982163465

Fernando Botero is a Non-emergency Medical Transport (VAN) based in Fontana, CA. Fernando Botero practices in Fontana, CA. The NPI Number for Fernando Botero is 1982163465 and holds a License No. 81-4404308 (California).

The current practice location address for Fernando Botero is 15220 Fox Ridge Dr, Fontana, CA and can be reached out via phone at 909-815-0166.

Location: 15220 Fox Ridge Dr, Fontana, CA, 92336-0230
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1982163465
Provider Name
Fernando Botero
Credential
Provider Entity Type
Individual
Gender
Male
Address
15220 Fox Ridge Dr, Fontana, CA, 92336-0230
Phone Number
909-815-0166
Fax Number
Provider Enumeration Date
03/14/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
15220 Fox Ridge Dr
City
Fontana
State
California
Zip
92336-0230
Phone Number
909-815-0166
Fax Number
person
Provider Business Mailing Address Details
Address
15220 Fox Ridge Dr
City
Fontana
State
California
Zip
92336-0230
Phone Number
909-815-0166
Fax Number
person
Provider's Taxonomy Details 1
Type
Transportation Services
Classification
Non-emergency Medical Transport (VAN)
Speciality
-
Taxonomy
343900000X
License No.
81-4404308 (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.
person
Provider's Taxonomy Details 2
Type
Transportation Services
Classification
Transportation Broker
Speciality
-
Taxonomy
347E00000X
License No.
81-4404308 (California)
Definition
An organization that provides transportation for individuals who need access to medical care or services and have no other means of transportation. Transportation includes, but is not limited to, wheelchair van, taxi, stretcher car, bus passes and tickets, and secured transportation.
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