Organization
AMBUSERVE, INC.
Active
Other names
Shoreline Ambulance
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MELISSA HARRIS (OWNER)
(310) 644-0500
Entity
Organization
Contact information
Practice address
15105 S BROADWAY ST, GARDENA, CA 90248-1821
(310) 644-0500
(310) 644-4500
Mailing address
15105 S BROADWAY ST, GARDENA, CA 90248-1821
(310) 644-0500
(310) 644-4500
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
MTE01113F
—
CA
Enumeration date
06/06/2006
Last updated
07/21/2022
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