Provider Demographics
NPI:1386131977
Name:WEST COAST MEDICAL TRANSPORTS
Entity type:Organization
Organization Name:WEST COAST MEDICAL TRANSPORTS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:JOSE
Authorized Official - Middle Name:E
Authorized Official - Last Name:PADILLA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:760-422-4050
Mailing Address - Street 1:39743 PICASSO CT
Mailing Address - Street 2:
Mailing Address - City:INDIO
Mailing Address - State:CA
Mailing Address - Zip Code:92203-7861
Mailing Address - Country:US
Mailing Address - Phone:760-422-4050
Mailing Address - Fax:
Practice Address - Street 1:39743 PICASSO CT
Practice Address - Street 2:
Practice Address - City:INDIO
Practice Address - State:CA
Practice Address - Zip Code:92203-7861
Practice Address - Country:US
Practice Address - Phone:760-422-4050
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-04-18
Last Update Date:2018-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)