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NPI Code Detail

MEDICARE: FRONTLINE AMBULANCE LLC

MEDICARE: FRONTLINE AMBULANCE LLC
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
1341600000XAmbulance

General Provider Information

NPI Number : 1134879877
Entity Type Code : Organization
Provider Name (Legal Business Name) : FRONTLINE AMBULANCE LLC
Provider Business Mailing Address
First Line : 5 BRAYTON CT
Second Line :
City : LADERA RANCH
State : CA
Zip : 92694-1359
Country : US
Telephone Number : 619-947-9606
Fax Number :
Provider Business Practice Location Address
First Line : 12862 GARDEN GROVE BLVD STE H
Second Line :
City : GARDEN GROVE
State : CA
Zip : 92843-2021
Country : US
Telephone Number : 619-947-9606
Fax Number :
Authorized Official
Title or Position : PRESIDENT/CEO
Name : MR. TALMADGE CLINE
Credential :
Telephone Number : 619-947-9606
Provider Enumeration Date : 03/25/2022
Last Update Date : 03/25/2022

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Directions to “FRONTLINE AMBULANCE LLC ” Practice Location

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