Healthcare Provider Details

I. General information

NPI: 1417335613
Provider Name (Legal Business Name): AMERICARE AMBULANCE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/08/2015
Last Update Date: 05/08/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1059 E BEDMAR ST
CARSON CA
90746-3601
US

IV. Provider business mailing address

1059 E BEDMAR ST
CARSON CA
90746-3601
US

V. Phone/Fax

Practice location:
  • Phone: 310-835-9390
  • Fax: 310-835-3926
Mailing address:
  • Phone: 310-835-9390
  • Fax: 310-835-3926

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number
License Number StateCA

VIII. Authorized Official

Name: MICHAEL SUMMERS
Title or Position: PRESIDENT/CEO
Credential:
Phone: 310-835-9390