Organization
SHASTA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MORI MORIUCHI (CEO)
(510) 769-9648
Entity
Organization
Contact information
Practice address
875 CYPRESS AVE, REDDING, CA 96001-2719
(510) 769-9648
Mailing address
PO BOX 510, ALAMEDA, CA 94501-9610
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
—
—
Other
Enumeration date
04/24/2007
Last updated
08/22/2020
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