Organization
AEGIS AMBULANCE SERVICE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CATHERINE JOHNSON (OFFICE MANAGER)
(626) 685-9410
Entity
Organization
Contact information
Practice address
140 W CHESTNUT AVE, MONROVIA, CA 91016-3412
(626) 685-9410
(626) 685-9414
Mailing address
140 W CHESTNUT AVE, MONROVIA, CA 91016-3412
(626) 685-9410
(626) 685-9414
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
A174
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
590011955
RAILROAD MEDICARE
CA
05
—
MTE00944F
—
CA
Enumeration date
02/26/2007
Last updated
10/24/2011
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