Healthcare Provider Details
I. General information
NPI: 1861312795
Provider Name (Legal Business Name): PAN AMERICAN AMBULANCE INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/20/2026
Last Update Date: 07/21/2026
Certification Date: 07/21/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
465 SALEM ST APT 203
GLENDALE CA
91203-2976
US
IV. Provider business mailing address
465 SALEM ST APT 203
GLENDALE CA
91203-2976
US
V. Phone/Fax
- Phone: 818-519-5544
- Fax:
- Phone: 818-519-5544
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 3416L0300X |
| Taxonomy | Land Ambulance |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
TIGRAN
ARABAJYAN
Title or Position: PRESIDENT
Credential:
Phone: 818-519-5544