Healthcare Provider Details

I. General information

NPI: 1447583810
Provider Name (Legal Business Name): CALIFORNIA MEDICAL RESPONSE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/16/2009
Last Update Date: 11/15/2021
Certification Date: 11/15/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1557 SANTA ANITA AVE
SOUTH EL MONTE CA
91733-3313
US

IV. Provider business mailing address

1557 SANTA ANITA AVE
SOUTH EL MONTE CA
91733-3313
US

V. Phone/Fax

Practice location:
  • Phone: 562-968-1818
  • Fax: 562-968-1808
Mailing address:
  • Phone: 562-968-1818
  • Fax: 562-968-1808

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code341600000X
TaxonomyAmbulance
License Number1982
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number0000
License Number StateCA

VIII. Authorized Official

Name: MR. RONALD A MARKS
Title or Position: CEO
Credential:
Phone: 562-968-1818