| Organization Name: | MEDONE AMBULANCE SERVICE, INC. |
| NPI Number: | 1073822987 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | SAMVEL PAPIKYAN (PRESIDENT) |
| Mailing Address: | 13173 Van Nuys Blvd Pacoima |
| State: | CA US |
| Postal Code: | 913312560 |
| Phone Number: | 8188900982 |
| Fax Number: | 8188963782 |
| NPI Enumeration Date: | 09/27/2010 |
| NPI Last Update Date: | 09/27/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 3416L0300X |
| License Number: | 2004 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Transportation Services |
| Taxonomy Classification: | Ambulance |
| Taxonomy Specialization: | Land Transport |
| Taxonomy Definition: | |