MEDICARE: CITY OF LOS ANGELES

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	341600000X	Ambulance

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	756590527	OTHER	CA	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1083789564
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CITY OF LOS ANGELES

Provider Business Mailing Address
First Line	:	200 N MAIN ST
Second Line	:	ROOM 1620
City	:	LOS ANGELES
State	:	CA
Zip	:	90012-4110
Country	:	US
Telephone Number	:	213-482-7200
Fax Number	:	213-482-7233

Provider Business Practice Location Address
First Line	:	200 N MAIN ST
Second Line	:	ROOM 1620
City	:	LOS ANGELES
State	:	CA
Zip	:	90012
Country	:	US
Telephone Number	:	213-482-7200
Fax Number	:	213-482-7233

Authorized Official
Title or Position	:	FIRE CHIEF
Name	:	KRISTIN M CROWLEY
Credential	:
Telephone Number	:	213-978-3855

Provider Enumeration Date	:	11/21/2006
Last Update Date	:	09/28/2023

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Directions to “CITY OF LOS ANGELES ” Practice Location

Language	Start Address	Practice Location

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