BALBOA AMBULANCE INC. NPI 1871502146

NPI Information

NPI: 1871502146
Provider Name: BALBOA AMBULANCE INC.
Classification: Ambulance - 3416L0300X
Entity Type: Organization

Specialization: Land Transport

Address:
3550 AFTON RD
SAN DIEGO, CA
ZIP 92123
Phone: (858) 637-3524
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BALBOA AMBULANCE INC. is a land transport ambulance in San Diego, CA. BALBOA AMBULANCE INC. NPI is 1871502146. The provider is registered as an organization entity type.

The provider's business location address is:

3550 AFTON RD
SAN DIEGO, CA
ZIP 92123-184
Phone: (858) 637-3524
Fax: (858) 284-9848

The provider's authorized official is John Olson .
The authorized official title is Administrator and has the following contact phone number (619) 440-9386.

The enumeration date for this NPI number is 8/5/2006 and was last updated on 12/18/2012.

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	115347	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	Other Provider Identifier Issuer
1	05-102	OTHER	CALIFORNIA	SAN DIEGO EMS PERMIT
2	115347	OTHER		CHP LICENSE
3	Z568	MEDICARE PIN	CALIFORNIA
4	MTE00734F	MEDICAID	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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