MEDICARE: SES EVENT SAFETY, 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
1	3416L0300X	Land Ambulance

General Provider Information

NPI Number	:	1518163211
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SES EVENT SAFETY, INC.

Provider Business Mailing Address
First Line	:	PO BOX 269110
Second Line	:
City	:	SACRAMENTO
State	:	CA
Zip	:	95826-9110
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	214 W LINE ST
Second Line	:
City	:	BISHOP
State	:	CA
Zip	:	93514-3448
Country	:	US
Telephone Number	:	760-873-8904
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	JUDD SYMONS
Credential	:
Telephone Number	:	760-873-8904

Provider Enumeration Date	:	06/21/2007
Last Update Date	:	08/22/2020

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