MEDICARE: MONTEBELLO FIRE DEPARTMENT

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	146L00000X	Paramedic

General Provider Information

NPI Number	:	1659412369
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MONTEBELLO FIRE DEPARTMENT

Provider Business Mailing Address
First Line	:	600 N MONTEBELLO BLVD
Second Line	:
City	:	MONTEBELLO
State	:	CA
Zip	:	90640-3538
Country	:	US
Telephone Number	:	714-288-3800
Fax Number	:	714-288-3891

Provider Business Practice Location Address
First Line	:	600 N MONTEBELLO BLVD
Second Line	:
City	:	MONTEBELLO
State	:	CA
Zip	:	90640-3538
Country	:	US
Telephone Number	:	714-288-3800
Fax Number	:	714-288-3891

Authorized Official
Title or Position	:	BILLING AGENCY MANAGER
Name	:	LAURA L VARTANIAN
Credential	:
Telephone Number	:	714-288-3800

Provider Enumeration Date	:	02/08/2007
Last Update Date	:	08/22/2020

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Directions to “MONTEBELLO FIRE DEPARTMENT ” Practice Location

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