Healthcare Provider Details

I. General information

NPI: 1013600964
Provider Name (Legal Business Name): ELITE AMBULANCE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/29/2023
Last Update Date: 05/12/2026
Certification Date: 05/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2304 WHIPPLE AVE
REDWOOD CITY CA
94062-2148
US

IV. Provider business mailing address

2304 WHIPPLE AVE
REDWOOD CITY CA
94062-2148
US

V. Phone/Fax

Practice location:
  • Phone: 650-784-5481
  • Fax:
Mailing address:
  • Phone: 650-784-5481
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number
License Number State

VIII. Authorized Official

Name: AYAT DABIT
Title or Position: CHIEF EXECUTIVE OFFICER
Credential:
Phone: 650-784-5481