Organization
EASTWEST PROTO INC
Active
Other names
LifeLine Ambulance
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GENADY GORIN (VICE PRESIDENT CEO)
(818) 335-2980
Entity
Organization
Contact information
Practice address
6605 E WASHINGTON BLVD, COMMERCE, CA 90040-1813
(323) 832-0760
(323) 832-0781
Mailing address
6605 E WASHINGTON BLVD, COMMERCE, CA 90040-1813
(323) 832-0760
(323) 832-0781
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
CHP1832
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
MTE01106F
—
CA
Enumeration date
08/25/2006
Last updated
06/09/2025
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