MEDICARE: SHORELINE COMPANIES, LLC

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	341600000X	Ambulance	E0212282010	CA

General Provider Information

NPI Number	:	1871813279
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SHORELINE COMPANIES, LLC

Provider Business Mailing Address
First Line	:	4901 MORENA BLVD
Second Line	:	SUITE 208B
City	:	SAN DIEGO
State	:	CA
Zip	:	92117-3423
Country	:	US
Telephone Number	:	858-270-0020
Fax Number	:	858-270-0160

Provider Business Practice Location Address
First Line	:	4901 MORENA BLVD
Second Line	:	SUITE 208B
City	:	SAN DIEGO
State	:	CA
Zip	:	92117-3423
Country	:	US
Telephone Number	:	858-270-0020
Fax Number	:	858-270-0160

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. ALOHI RIEGER
Credential	:
Telephone Number	:	858-270-0020

Provider Enumeration Date	:	06/08/2010
Last Update Date	:	06/08/2010

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