# PROMED MEDICAL TRANSPORTATION INC. DBA PROMED AMBULANCE SERVICE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1104924505
- **Authorized official:** ERIC FEINGOLD (GENERAL PARTNER)
- **Authorized official phone:** (310) 767-1028

## Contact information

- **Practice address:** 15828 SOUTH BROADWAY ST.,, SUITE 'C', GARDENA, CA 90248-2404
- **Practice address phone:** (310) 767-1028
- **Practice address fax:** (310) 767-1058
- **Mailing address:** 15828 SOUTH BROADWAY ST.,, SUITE 'C', GARDENA, CA 90248-2404
- **Mailing address phone:** (310) 767-1028
- **Mailing address fax:** (310) 767-1058

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 341600000X | Ambulance | 1846-8368 | CA | Yes |

## Other

- **Enumeration date:** 09/20/2006
- **Last updated:** 08/22/2020