Organization
SHORELINE AMBULANCE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GIOVANNI CHIARELLA (PRESIDENT)
(714) 847-9107
Entity
Organization
Contact information
Practice address
17762 METZLER LN, HUNTINGTON BEACH, CA 92647-6245
(714) 847-9107
(714) 848-6943
Mailing address
17762 METZLER LN, HUNTINGTON BEACH, CA 92647-6245
(714) 847-9107
(714) 848-6943
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
MTE01225G
—
CA
Enumeration date
05/01/2006
Last updated
09/21/2007
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