Organization
LIBERTY AMBULANCE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MANNY DIAZ-CONTI JR. CPA (CHIEF FINANCIAL OFFICER)
(858) 653-4520
Entity
Organization
Contact information
Practice address
9441 WASHBURN RD, DOWNEY, CA 90242-2912
(858) 653-4520
(858) 653-4537
Mailing address
9770 CANDIDA ST, SAN DIEGO, CA 92126-4536
(858) 653-4520
(858) 653-4537
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
3416L0300X
CA
Other
Enumeration date
07/16/2008
Last updated
08/18/2011
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