Organization
EXPLORER - 1 AMBULANCE SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TIMOTHY L. LEE II PARAMEDIC (CHIEF, EMS OPERATIONS)
(310) 892-6437
Entity
Organization
Contact information
Practice address
1040 E COMPTON BLVD, COMPTON, CA 90221-3306
(310) 537-3971
Mailing address
PO BOX 4639, COMPTON, CA 90224-4639
(310) 537-3971
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
P20823
CA
343800000X
Secured Medical Transport (VAN)
P20823
CA
343900000X
Non-emergency Medical Transport (VAN)
P20823
CA
Other
Enumeration date
01/06/2010
Last updated
07/06/2010
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