Healthcare Provider Details

I. General information

NPI: 1902867591
Provider Name (Legal Business Name): SCHAEFER AMBULANCE SERVICE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/31/2006
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16425 VANOWEN ST
VAN NUYS CA
91406-4730
US

IV. Provider business mailing address

16425 VANOWEN ST
VAN NUYS CA
91406-4730
US

V. Phone/Fax

Practice location:
  • Phone: 818-786-7536
  • Fax: 818-786-7536
Mailing address:
  • Phone: 818-786-7536
  • Fax: 818-786-7536

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3416A0800X
TaxonomyAir Ambulance
License Number
License Number StateCA

VIII. Authorized Official

Name: MRS. LESLIE JONES
Title or Position: VICE PRESIDENT TREASURER
Credential:
Phone: 323-468-1612