# MEDCARE AMBULANCE INC

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

## Provider details

- **NPI number:** 1437422011
- **Authorized official:** MR. ROMAN RASKIN (CEO)
- **Authorized official phone:** (818) 767-9100

## Contact information

- **Practice address:** 14540 VICTORY BLVD, 232, VAN NUYS, CA 91411-1600
- **Practice address phone:** (818) 767-9100
- **Mailing address:** 14540 VICTORY BLVD, 232, VAN NUYS, CA 91411-1600
- **Mailing address phone:** (818) 767-9100

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 341600000X | Ambulance | — | NULL | Yes |

## Other

- **Enumeration date:** 02/13/2012
- **Last updated:** 02/13/2012