# EASTWEST PROTO INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** LifeLine Ambulance
- **Organization subpart:** No

## Provider details

- **NPI number:** 1750498440
- **Authorized official:** MR. GENADY GORIN (VICE PRESIDENT CEO)
- **Authorized official phone:** (818) 335-2980

## Contact information

- **Practice address:** 6605 E WASHINGTON BLVD, COMMERCE, CA 90040-1813
- **Practice address phone:** (323) 832-0760
- **Practice address fax:** (323) 832-0781
- **Mailing address:** 6605 E WASHINGTON BLVD, COMMERCE, CA 90040-1813
- **Mailing address phone:** (323) 832-0760
- **Mailing address fax:** (323) 832-0781

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 341600000X | Ambulance | CHP1832 | CA | Yes |

## Other

- **Enumeration date:** 08/25/2006
- **Last updated:** 06/09/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | MTE01106F | — | CA |