| Organization Name: | VERIHEALTH SOUTHERN CALIFORNIA |
| NPI Number: | 1003196601 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | SEAN R SULLIVAN (VICE PRESIDENT) |
| Mailing Address: | 526 Commercial St Glendale |
| State: | CA US |
| Postal Code: | 912032861 |
| Phone Number: | 7077662400 |
| Fax Number: | 7073038027 |
| NPI Enumeration Date: | 08/26/2011 |
| NPI Last Update Date: | 08/26/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 3416L0300X |
| License Number: | 0604667 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Transportation Services |
| Taxonomy Classification: | Ambulance |
| Taxonomy Specialization: | Land Transport |
| Taxonomy Definition: | |