MEDICARE: AMBUMED CORP.

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	1865	CA

Other Identifiers

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

General Provider Information

NPI Number	:	1982651592
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AMBUMED CORP.

Provider Business Mailing Address
First Line	:	3333 N SAN FERNANDO BLVD
Second Line	:
City	:	BURBANK
State	:	CA
Zip	:	91504-2531
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3333 N SAN FERNANDO BLVD
Second Line	:
City	:	BURBANK
State	:	CA
Zip	:	91504-2531
Country	:	US
Telephone Number	:	818-847-7000
Fax Number	:

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	JACOB TCHAMANIAN
Credential	:
Telephone Number	:	818-847-7000

Provider Enumeration Date	:	05/28/2006
Last Update Date	:	08/22/2020

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Directions to “AMBUMED CORP. ” Practice Location

Language	Start Address	Practice Location

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