| Organization Name: | LIBERTY AMBULANCE LLC |
| NPI Number: | 1033373394 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MANNY DIAZ-CONTI (CHIEF FINANCIAL OFFICER) |
| Mailing Address: | 9441 Washburn Rd Downey |
| State: | CA US |
| Postal Code: | 902422912 |
| Phone Number: | 8586534520 |
| Fax Number: | 8586534537 |
| NPI Enumeration Date: | 07/16/2008 |
| NPI Last Update Date: | 08/18/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 3416L0300X |
| License Number: | 3416L0300X |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Transportation Services |
| Taxonomy Classification: | Ambulance |
| Taxonomy Specialization: | Land Transport |
| Taxonomy Definition: | |