Healthcare Provider Details
I. General information
NPI: 1053453951
Provider Name (Legal Business Name): WESTMED AMBULANCE INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 02/14/2007
Last Update Date: 09/16/2025
Certification Date: 09/16/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2020 S CENTRAL AVE
COMPTON CA
90220-5302
US
IV. Provider business mailing address
PO BOX 841238
DALLAS TX
75284-1238
US
V. Phone/Fax
- Phone: 310-219-1779
- Fax: 310-946-0345
- Phone: 800-913-9106
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 341600000X |
| Taxonomy | Ambulance |
| License Number | 2151 |
| License Number State | CA |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 3416L0300X |
| Taxonomy | Land Ambulance |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
TIMOTHY
JOSEPH
DORN
Title or Position: CHIEF ADMINISTRATIVE OFFICER
Credential:
Phone: 833-703-2294