Healthcare Provider Details

I. General information

NPI: 1851820815
Provider Name (Legal Business Name): ZOOM AMBULANCE SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/05/2017
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1315 N BULLIS RD
COMPTON CA
90221-1650
US

IV. Provider business mailing address

12801 CORLETT AVE
LOS ANGELES CA
90059-3434
US

V. Phone/Fax

Practice location:
  • Phone: 310-617-2620
  • Fax:
Mailing address:
  • Phone: 310-617-2620
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code341600000X
TaxonomyAmbulance
License Number
License Number State

VIII. Authorized Official

Name: JESSE LUCAS
Title or Position: DIRECTOR
Credential:
Phone: 310-617-2620