Organization Name: | FIRST RESCUE AMBULANCE INC |
NPI Number: | 1588946750 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ROBERT MOGHADAM (DIRECTOR) |
Mailing Address: | 5220 4th St Ste 18 Irwindale |
State: | CA US |
Postal Code: | 917066600 |
Phone Number: | 6263382273 |
Fax Number: | |
NPI Enumeration Date: | 09/14/2011 |
NPI Last Update Date: | 09/10/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 3416L0300X |
License Number: | 12345 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Transportation Services |
Taxonomy Classification: | Ambulance |
Taxonomy Specialization: | Land Transport |
Taxonomy Definition: |