| Organization Name: | VALLEY MEDICAL AMBULANCE |
| NPI Number: | 1023312360 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | EDUARDO DIAZ (GENERAL MANAGER) |
| Mailing Address: | 44925 Jackson St Indio |
| State: | CA US |
| Postal Code: | 922013246 |
| Phone Number: | 7608631572 |
| Fax Number: | 7607751295 |
| NPI Enumeration Date: | 12/30/2010 |
| NPI Last Update Date: | 03/31/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 3416L0300X |
| License Number: | 10-113 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Transportation Services |
| Taxonomy Classification: | Ambulance |
| Taxonomy Specialization: | Land Transport |
| Taxonomy Definition: | |