Healthcare Provider Details

I. General information

NPI: 1629790852
Provider Name (Legal Business Name): UNITED CARE AMBULANCE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/14/2022
Last Update Date: 09/14/2022
Certification Date: 09/14/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1440 E YALE AVE APT 2011440E
FRESNO CA
93704-6303
US

IV. Provider business mailing address

1440 E YALE AVE APT 201
FRESNO CA
93704-6343
US

V. Phone/Fax

Practice location:
  • Phone: 559-207-6080
  • Fax:
Mailing address:
  • Phone: 559-207-6080
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State

VIII. Authorized Official

Name: MR. MOHAMMAD AHMAD
Title or Position: OWNER
Credential:
Phone: 559-207-6080