| Organization Name: | MORONGO BASIN AMBULANCE ASSN., INC. |
| NPI Number: | 1164499877 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | RAMON LOMELI (GENERAL MANAGER) |
| Mailing Address: | 6335 Park Blvd Joshua Tree |
| State: | CA US |
| Postal Code: | 922522370 |
| Phone Number: | 7603668474 |
| Fax Number: | 7603668560 |
| NPI Enumeration Date: | 03/01/2006 |
| NPI Last Update Date: | 05/15/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 3416L0300X |
| License Number: | 1797 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Transportation Services |
| Taxonomy Classification: | Ambulance |
| Taxonomy Specialization: | Land Transport |
| Taxonomy Definition: | |