Healthcare Provider Details

I. General information

NPI: 1649572868
Provider Name (Legal Business Name): ASSOCIATED AMBULANCE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/19/2010
Last Update Date: 12/11/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7700 IMPERIAL HWY SUITE D
DOWNEY CA
90242-3469
US

IV. Provider business mailing address

PO BOX 4645
DOWNEY CA
90241-1645
US

V. Phone/Fax

Practice location:
  • Phone: 888-777-3851
  • Fax: 714-441-8773
Mailing address:
  • Phone: 888-777-3851
  • Fax: 714-441-8773

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number1970
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code347E00000X
TaxonomyTransportation Broker
License Number
License Number State

VIII. Authorized Official

Name: SOUHEIL JAWAD
Title or Position: PRESIDENT
Credential:
Phone: 858-699-8153