Organization
LIFECARE AMBULANCE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. OSVALDO FRAGOSO (VICE PRESIDENT)
(855) 708-2624
Entity
Organization
Contact information
Practice address
3677 SAN GABRIEL RIVER PKWY, PICO RIVERA, CA 90660-1403
(855) 888-1617
Mailing address
3677 SAN GABRIEL RIVER PKWY, PICO RIVERA, CA 90660-1403
(855) 888-1617
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
C2093628
—
Other
Enumeration date
12/20/2012
Last updated
12/20/2012
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