Organization
SAN LUIS AMBULANCE SERVICE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. FRANK I. KELTON (PRESIDENT/CEO)
(805) 543-2626
Entity
Organization
Contact information
Practice address
3546 S HIGUERA ST, SAN LUIS OBISPO, CA 93401-7352
(805) 543-2626
(805) 546-0885
Mailing address
3546 S HIGUERA ST, SAN LUIS OBISPO, CA 93401-7352
(805) 543-2626
(805) 546-0885
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
—
CA
3416L0300X
Land Ambulance
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZZZ72013Z
—
CA
Enumeration date
05/05/2006
Last updated
11/29/2007
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