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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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