Provider Demographics
NPI:1881890937
Name:SIGMA MEDICAL TRANSPORT INC.
Entity type:Organization
Organization Name:SIGMA MEDICAL TRANSPORT INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:
Authorized Official - Last Name:VILLARUZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:562-376-5940
Mailing Address - Street 1:14051 PARAMOUNT BLVD STE B
Mailing Address - Street 2:
Mailing Address - City:PARAMOUNT
Mailing Address - State:CA
Mailing Address - Zip Code:90723-6153
Mailing Address - Country:US
Mailing Address - Phone:562-633-3788
Mailing Address - Fax:562-633-3830
Practice Address - Street 1:14051 PARAMOUNT BLVD STE B
Practice Address - Street 2:
Practice Address - City:PARAMOUNT
Practice Address - State:CA
Practice Address - Zip Code:90723-6153
Practice Address - Country:US
Practice Address - Phone:562-633-3788
Practice Address - Fax:562-633-3830
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-25
Last Update Date:2010-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMTN01076F343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAMTN01076FMedicaid