# GOOD SHEPHERD AMBULANCE LLC

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

## Provider details

- **NPI number:** 1992985733
- **Authorized official:** MR. GABRIEL GRANADOS (CHIEF OPERATING OFFICER)
- **Authorized official phone:** (626) 287-5200

## Contact information

- **Practice address:** 109 AGOSTINO RD, SUITE 203, SAN GABRIEL, CA 91776-2550
- **Practice address phone:** (626) 287-5200
- **Mailing address:** 109 AGOSTINO RD, SUITE 203, SAN GABRIEL, CA 91776-2550
- **Mailing address phone:** (626) 287-5200

## Taxonomy

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

## Other

- **Enumeration date:** 11/09/2007
- **Last updated:** 03/04/2008