Organization
CITY OF LA VERNE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PETE JANKOWSKI (FIRE CHIEF)
(909) 596-5991
Entity
Organization
Contact information
Practice address
2061 3RD ST, LA VERNE, CA 91750-4404
(909) 596-5991
Mailing address
PO BOX 269110, SACRAMENTO, CA 95826-9110
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
MTE01111F
—
CA
01
—
P00062153
RRB
CA
Enumeration date
07/22/2005
Last updated
12/17/2019
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