Search › California › 343900000X
Gerald Blackmon
NPI 1750691994 · on the registry since 2010 · sole proprietor
Practice
- Address
- 1665 S Monte Verde Dr
Beaumont, CA 92223 - Phone
- (951) 663-6995
- Fax
- (951) 769-5513
- Organisation at this address
- Alliance Non-Emergency Medical Transport, Llc
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 343900000X
343900000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2010-10-20
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California