Organization
ELITE AMBULANCE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIDGETTE POVOLOTSKY (PRESIDENT)
(323) 874-4100
Entity
Organization
Contact information
Practice address
2065 VENICE BLVD, LOS ANGELES, CA 90006-5222
(323) 874-4100
(323) 766-9500
Mailing address
2065 VENICE BLVD, LOS ANGELES, CA 90006-5222
(323) 874-4100
(323) 766-9500
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
Other
Enumeration date
03/31/2008
Last updated
12/01/2010
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