Provider Demographics
NPI:1548318751
Name:ST. ANTHONY MEDICAL TRANSPORTATION, INC.
Entity type:Organization
Organization Name:ST. ANTHONY MEDICAL TRANSPORTATION, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:CESAR
Authorized Official - Middle Name:BALUYOT
Authorized Official - Last Name:RAMOS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:310-952-1280
Mailing Address - Street 1:15120 ATKINSON AVE
Mailing Address - Street 2:SUITE #8
Mailing Address - City:GARDENA
Mailing Address - State:CA
Mailing Address - Zip Code:90249-4037
Mailing Address - Country:US
Mailing Address - Phone:310-952-1280
Mailing Address - Fax:818-364-8824
Practice Address - Street 1:15120 ATKINSON AVE
Practice Address - Street 2:SUITE # 8
Practice Address - City:GARDENA
Practice Address - State:CA
Practice Address - Zip Code:90249-3637
Practice Address - Country:US
Practice Address - Phone:310-952-1280
Practice Address - Fax:818-364-8824
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-07
Last Update Date:2008-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMTN01006F343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)