Organization
STAT RESPONSE AMBULANCE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ALEX PUNZALAN ALINO (PRESIDENT, CEO)
(714) 600-4915
Entity
Organization
Contact information
Practice address
4750 YORK BLVD., LOS ANGELES, CA 90042
(323) 747-0057
(714) 996-2135
Mailing address
4750 YORK BLVD., LOS ANGELES, CA 90042
(323) 747-0057
(714) 996-2135
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
—
—
343800000X
Secured Medical Transport (VAN)
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
Other
Enumeration date
11/09/2010
Last updated
11/09/2010
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