Organization
AMBIANCE TRANSPORTATION CO LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRIAN THOMAS MOFFETT (CEO)
(415) 312-3085
Entity
Organization
Contact information
Practice address
6901 SAN FERNANDO RD, GLENDALE, CA 91201-1608
(415) 312-3085
Mailing address
6901 SAN FERNANDO RD, GLENDALE, CA 91201-1608
(415) 312-3085
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
02/17/2020
Last updated
09/17/2021
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