PROCARE MOBILE RESPONSE LLC NPI 1467497172

NPI Information

NPI: 1467497172
Provider Name: PROCARE MOBILE RESPONSE, LLC
Classification: Ambulance - 3416L0300X
Entity Type: Organization

Specialization: Land Transport

Address:
2702 MEDIA CENTER DR
LOS ANGELES, CA
ZIP 90065
Phone: (800) 676-0311
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PROCARE MOBILE RESPONSE, LLC is a land transport ambulance in Los Angeles, CA. PROCARE MOBILE RESPONSE, LLC NPI is 1467497172. The provider is registered as an organization entity type.

The provider's business location address is:

2702 MEDIA CENTER DR
LOS ANGELES, CA
ZIP 90065-733
Phone: (800) 676-0311
Fax: (800) 676-4133

The provider's authorized official is Zinovy Ganopolsky .
The authorized official title is Ceo and has the following contact phone number (800) 676-0311.

The enumeration date for this NPI number is 6/17/2006 and was last updated on 10/3/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	3416L0300X	Ambulance	Land Transport	1885	CALIFORNIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	25962	MEDICARE UPIN	CALIFORNIA
2	MTE01167F	MEDICAID	CALIFORNIA
3	Z532	MEDICARE ID-TYPE UNSPECIFIED	CALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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