Organization
LIFE SUPPORT AMBULANCE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CLAUDIA REMON (CFO)
(818) 987-7783
Entity
Organization
Contact information
Practice address
5355 CARTWRIGHT AVE, 110, NORTH HOLLYWOOD, CA 91601-3405
(818) 987-7783
Mailing address
PO BOX 195, TUJUNGA, CA 91043-0195
(818) 987-7783
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
—
—
Other
Enumeration date
06/07/2007
Last updated
08/12/2007
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