Organization
CITY OF HERMOSA BEACH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VIKI LEA COPELAND (FINANCE DIRECTOR)
(310) 318-0225
Entity
Organization
Contact information
Practice address
1315 VALLEY DR, STE 201, HERMOSA BEACH, CA 90254
(310) 376-2479
Mailing address
PO BOX 269110, SACRAMENTO, CA 95826-9110
(800) 906-6552
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
590011942
RRB
CA
05
—
MTE00434F
—
CA
Enumeration date
12/09/2005
Last updated
12/17/2019
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