Provider Demographics
NPI:1356808091
Name:WEST COAST MEDICAL TRANSPORT LLC
Entity type:Organization
Organization Name:WEST COAST MEDICAL TRANSPORT LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KIM
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:ARONSEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:707-290-6806
Mailing Address - Street 1:1436 2ND ST # 10607
Mailing Address - Street 2:
Mailing Address - City:NAPA
Mailing Address - State:CA
Mailing Address - Zip Code:94559-2977
Mailing Address - Country:US
Mailing Address - Phone:707-759-0054
Mailing Address - Fax:707-581-7473
Practice Address - Street 1:707 CALIFORNIA BLVD
Practice Address - Street 2:
Practice Address - City:NAPA
Practice Address - State:CA
Practice Address - Zip Code:94559-2224
Practice Address - Country:US
Practice Address - Phone:707-759-0054
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-03-01
Last Update Date:2024-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA358697OtherMEDICARE