Organization
FIRST DUE MEDICAL SERVICES INC
Active
Organization
FIRST DUE MEDICAL SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRAD WATERS (OWNER/DIRECTOR)
(818) 488-4087
Entity
Organization
Contact information
Practice address
8113 ORION AVE, VAN NUYS, CA 91406-1435
(818) 488-4087
Mailing address
9018 BALBOA BLVD # 558, NORTHRIDGE, CA 91325-2610
(818) 488-4087
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
1927
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1951
CHP LICENSE #
CA
Enumeration date
06/19/2008
Last updated
02/09/2011
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