Healthcare Provider Details

I. General information

NPI: 1639131436
Provider Name (Legal Business Name): FALCK MOBILE HEALTH CORP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/05/2006
Last Update Date: 06/15/2021
Certification Date: 06/14/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1517 W BRADEN CT
ORANGE CA
92868-1125
US

IV. Provider business mailing address

PO BOX 31001-2183
PASADENA CA
91110-2183
US

V. Phone/Fax

Practice location:
  • Phone: 714-288-3800
  • Fax: 714-288-3889
Mailing address:
  • Phone: 714-288-3800
  • Fax: 714-288-3889

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number65800
License Number StateCA

VIII. Authorized Official

Name: MR. BRIAN RICHMOND
Title or Position: CHIEF LEGAL COUNSEL
Credential:
Phone: 425-478-8318