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Organization

MEDIC-1 AMBULANCE SERVICE INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. GORDON SHIPP (CEO/ PRESIDENT)
(626) 385-0440
Entity
Organization

Contact information

Practice address
5462 IRWINDALE AVE, STE B, IRWINDALE, CA 91706-2074
(626) 385-0440
(626) 815-2852
Mailing address
5462 IRWINDALE AVE, STE B, IRWINDALE, CA 91706-2074
(626) 385-0440
(626) 815-2852

Taxonomy

Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
1822
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1822
CHP LICENSE #
CA
01
2368718
CALIF. CORPORATION #
CA
05
MTE01065F
CA
Enumeration date
06/30/2005
Last updated
07/29/2009
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