Healthcare Provider Details

I. General information

NPI: 1366550360
Provider Name (Legal Business Name): HEMET VALLEY AMBULANCE SERVICE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/29/2006
Last Update Date: 09/15/2025
Certification Date: 09/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

208 E DEVONSHIRE AVE
HEMET CA
92543-2984
US

IV. Provider business mailing address

PO BOX 55418
LOS ANGELES CA
90074-5418
US

V. Phone/Fax

Practice location:
  • Phone: 951-765-3900
  • Fax: 951-652-8371
Mailing address:
  • Phone: 800-913-9106
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code341600000X
TaxonomyAmbulance
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number
License Number State

VIII. Authorized Official

Name: TIMOTHY JOSEPH DORN
Title or Position: CHIEF ADMINISTRATIVE OFFICER
Credential:
Phone: 833-703-2294