Organization
SOUTHLAND AMBULANCE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRICK WAYNE ASHCRAFT (PRESIDENT)
(310) 739-7004
Entity
Organization
Contact information
Practice address
960 N ALFRED ST, 206, WEST HOLLYWOOD, CA 90069-6302
(310) 739-7004
(323) 375-1448
Mailing address
960 N ALFRED ST, 206, WEST HOLLYWOOD, CA 90069-6302
(310) 739-7004
(323) 375-1448
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
—
—
Other
Enumeration date
08/29/2011
Last updated
08/29/2011
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