# MEDEVAC AMBULANCE INC

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

## Provider details

- **NPI number:** 1972120855
- **Authorized official:** MR. JOHN GUTIERREZ (OWNER)
- **Authorized official phone:** (858) 805-5296

## Contact information

- **Practice address:** 1138 BROADWAY, EL CAJON, CA 92021-4863
- **Practice address phone:** (858) 805-5296
- **Mailing address:** PO BOX 2188, EL CAJON, CA 92021-0188
- **Mailing address phone:** (858) 805-5296

## Taxonomy

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

## Other

- **Enumeration date:** 06/26/2020
- **Last updated:** 10/21/2020