Organization
CITY OF SAN MARINO
Active
Organization
CITY OF SAN MARINO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK DONDANVILLE (FIRE CHIEF)
(626) 222-1704
Entity
Organization
Contact information
Practice address
2200 HUNTINGTON DR, SAN MARINO, CA 91108-2639
(626) 300-0735
Mailing address
PO BOX 269110, SACRAMENTO, CA 95826-9110
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
590004140
RRB
—
05
—
MTE00254F
—
CA
Enumeration date
07/18/2005
Last updated
12/17/2019
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