Organization
SUPREME AMBULANCE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICK LARSON (VPO)
(855) 775-8585
Entity
Organization
Contact information
Practice address
5300 SAN FERNANDO RD, GLENDALE, CA 91203-2407
(855) 775-8585
(855) 775-8787
Mailing address
5300 SAN FERNANDO RD, GLENDALE, CA 91203-2407
(855) 775-8585
(855) 775-8787
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
—
—
Other
Enumeration date
12/29/2009
Last updated
07/24/2012
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