Organization
CITY OF RIALTO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOE POWELL (CHIEF EMS COORDINATOR)
(909) 820-2657
Entity
Organization
Contact information
Practice address
131 S WILLOW AVE, RIALTO, CA 92376-6301
(909) 820-2501
Mailing address
PO BOX 844453, LOS ANGELES, CA 90084-4453
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
590134015
RRB
—
05
—
ZZZ71909Z
—
CA
Enumeration date
07/18/2005
Last updated
05/01/2013
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