# COVENANT AMBULANCE SERVICE

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

## Provider details

- **NPI number:** 1780088906
- **Authorized official:** MR. COREY RENE BROOKS E.M.T. (CHIEF EXECUTIVE OFFICER)
- **Authorized official phone:** (562) 943-3567

## Contact information

- **Practice address:** 10522 SANTA GERTRUDES AVE APT 14, WHITTIER, CA 90603-2734
- **Practice address phone:** (562) 943-3567
- **Mailing address:** 10522 SANTA GERTRUDES AVE APT 14, WHITTIER, CA 90603-2734
- **Mailing address phone:** (562) 943-3567

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 341600000X | Ambulance | E004123 | CA | Yes |

## Other

- **Enumeration date:** 10/17/2014
- **Last updated:** 10/17/2014