Organization
CITY OF EL SEGUNDO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOPHER DONOVAN (FIRE CHIEF)
(310) 524-2219
Entity
Organization
Contact information
Practice address
350 MAIN ST, EL SEGUNDO, CA 90245-3813
(310) 524-2236
Mailing address
PO BOX 269110, SACRAMENTO, CA 95826-9110
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
590015389
RRB
CA
05
—
MTE01042F
—
CA
Enumeration date
06/23/2005
Last updated
12/17/2019
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