Organization
IMPULSE AMBULANCE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ADAM GORDON NEIBERGER (COMPLIANCE OFFICER)
(818) 982-3500
Entity
Organization
Contact information
Practice address
12527 VANOWEN ST, NORTH HOLLYWOOD, CA 91605-5321
(818) 982-3500
(818) 982-5400
Mailing address
12527 VANOWEN ST, NORTH HOLLYWOOD, CA 91605-5321
(818) 982-3500
(818) 982-5400
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
2028
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
MTE01169F
—
CA
Enumeration date
07/12/2006
Last updated
07/01/2013
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