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EASTWEST PROTO INC NPI 1750498440


NPI Information

NPI: 1750498440
Provider Name: EASTWEST PROTO INC

Doing Business As: LIFELINE AMBULANCE

Classification: Ambulance - 341600000X
Entity Type: Organization
Address:
1120 S MAPLE AVE
SUITE #200
MONTEBELLO, CA
ZIP 90640
Phone: (323) 832-0760
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EASTWEST PROTO INC is an ambulance in Montebello, CA. The provider is an emergency vehicle used for transporting patients to a health care facility after injury or illness. Types of ambulances used in the United States include ground (surface) ambulance, rotor-wing (helicopter), and fixed-wing aircraft (airplane). EASTWEST PROTO INC NPI is 1750498440. The provider is registered as an organization entity type.
The provider Is Doing Business As Lifeline Ambulance.

The provider's business location address is:

1120 S MAPLE AVE
SUITE #200
MONTEBELLO, CA
ZIP 90640
Phone: (323) 832-0760
Fax: (323) 832-0781

The provider's authorized official is Genady Gorin .
The authorized official title is Vice President Ceo and has the following contact phone number (818) 335-2980.

The enumeration date for this NPI number is 8/25/2006 and was last updated on 1/8/2009.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1341600000XAmbulanceCHP1832CALIFORNIAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1MTE01106FMEDICAIDCALIFORNIA
2Z524MEDICARE PINCALIFORNIA

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: 4/28/2024

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