Organization
ALL TERRAIN RESCUE LLC
Active
Organization
ALL TERRAIN RESCUE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSHUA BOBKO MD (MEDICAL DIRECTOR)
(202) 302-9510
Entity
Organization
Contact information
Practice address
419 HAMILTON ST APT A101, COSTA MESA, CA 92627-5707
(949) 577-2663
Mailing address
419 HAMILTON ST APT A101, COSTA MESA, CA 92627-5707
(949) 577-2663
Taxonomy
Speciality
Code
Description
License number
State
146L00000X
Paramedic
—
—
146M00000X
Intermediate Emergency Medical Technician
—
—
146N00000X
Basic Emergency Medical Technician
—
—
207P00000X
Emergency Medicine Physician
—
—
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
—
—
Other
Enumeration date
04/25/2023
Last updated
04/25/2023
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