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NPI Code Detail

MEDICARE: PRO MEDIC AMBULANCE INC

MEDICARE: PRO MEDIC AMBULANCE INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
13416L0300XLand Ambulance2006CA

General Provider Information

NPI Number : 1356659817
Entity Type Code : Organization
Provider Name (Legal Business Name) : PRO MEDIC AMBULANCE INC
Provider Business Mailing Address
First Line : 11480 OXNARD ST
Second Line :
City : NORTH HOLLYWOOD
State : CA
Zip : 91606-4128
Country : US
Telephone Number : 818-761-0028
Fax Number : 818-761-0049
Provider Business Practice Location Address
First Line : 11480 OXNARD ST
Second Line :
City : NORTH HOLLYWOOD
State : CA
Zip : 91606-4128
Country : US
Telephone Number : 818-761-0028
Fax Number : 818-761-0049
Authorized Official
Title or Position : CEO
Name : MS. NINA SARAFIAN
Credential :
Telephone Number : 818-761-0028
Provider Enumeration Date : 09/17/2010
Last Update Date : 09/17/2010

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Directions to “PRO MEDIC AMBULANCE INC ” Practice Location

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