| Organization Name: | LIFE SUPPORT AMBULANCE, INC |
| NPI Number: | 1063615946 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | CLAUDIA REMON (CFO) |
| Mailing Address: | 5355 Cartwright Ave 110 North Hollywood |
| State: | CA US |
| Postal Code: | 916013405 |
| Phone Number: | 8189877783 |
| Fax Number: | |
| NPI Enumeration Date: | 06/07/2007 |
| NPI Last Update Date: | 08/12/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 3416L0300X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Transportation Services |
| Taxonomy Classification: | Ambulance |
| Taxonomy Specialization: | Land Transport |
| Taxonomy Definition: | |