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General NPI Number Information
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NPI Number | 1740334259
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Entity Type | Organization
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Legal Business Name | ENOVA MEDICAL RESPONSE INC.
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Dates
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Enumeration Date | 01/22/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1227 W TEMPLE ST 2ND FLOOR
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City | LOS ANGELES
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State | CA
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Zip | 90026-5612
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Country | US
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Telephone | 213-482-9654
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Fax | 213-482-9658
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Provider Business Mailing Address
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Address Line | 1227 W TEMPLE ST 2ND FLOOR
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City | LOS ANGELES
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State | CA
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Zip | 90026-5612
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Country | US
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Telephone | 213-482-9654
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Fax | 213-482-9658
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Authorized Official
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Title or Position | PRESIDENT - CEO
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Name | MR. DAVID MALINTSYAN
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Credential |
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Telephone | 213-482-9654
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 341600000X
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Taxonomy Name | Ambulance
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License Number | 0002026160-0001-4
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License Number State | CA
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