Organization
GOLDEN STATE AMBULANCE INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAWRENCE R MARSALA (PRESIDENT)
(408) 445-7400
Entity
Organization
Contact information
Practice address
3801 CHARTER PARK CT STE E, SAN JOSE, CA 95136-1386
(408) 445-7400
(408) 445-0474
Mailing address
3801 CHARTER PARK CT STE E, SAN JOSE, CA 95136-1386
(408) 445-7400
(408) 445-0474
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
1639
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CGP163356
CCS
CA
05
—
MTE00924F
—
CA
Enumeration date
07/30/2006
Last updated
08/22/2020
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