Healthcare Provider Details

I. General information

NPI: 1336257021
Provider Name (Legal Business Name): HERREN ENTERPRISES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/25/2006
Last Update Date: 02/15/2022
Certification Date: 02/15/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2316 S SUSAN ST
SANTA ANA CA
92704-4421
US

IV. Provider business mailing address

PO BOX 740784
LOS ANGELES CA
90074-0784
US

V. Phone/Fax

Practice location:
  • Phone: 949-951-6600
  • Fax: 866-515-0862
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: ERIC THOMAS
Title or Position: SVP OF REVENUE MANAGEMENT
Credential:
Phone: 833-703-2294