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Organization

GOLD COAST AMBULANCE SERVICE

Active
Other names
LIFELINE MEDICAL TRANSPORT
Organization subpart
No

Provider details

NPI number
Authorized official
TIMOTHY JOSEPH DORN (CHIEF ADMINISTRATIVE OFFICER)
(833) 703-2294
Entity
Organization

Contact information

Practice address
200 BERNOULLI CIR, OXNARD, CA 93030-8012
(805) 485-1231
(805) 485-4610
Mailing address
PO BOX 55418, LOS ANGELES, CA 90074-5418
(800) 913-9106

Taxonomy

Speciality
Code
Description
License number
State
341600000X
Ambulance
3416L0300X
Land Ambulance
Primary
117591
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1568456002
CA
Enumeration date
09/09/2005
Last updated
09/15/2025
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