Organization
GOOD SHEPHERD AMBULANCE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GABRIEL GRANADOS (CHIEF OPERATING OFFICER)
(626) 287-5200
Entity
Organization
Contact information
Practice address
109 AGOSTINO RD, SUITE 203, SAN GABRIEL, CA 91776-2550
(626) 287-5200
Mailing address
109 AGOSTINO RD, SUITE 203, SAN GABRIEL, CA 91776-2550
(626) 287-5200
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
—
—
Other
Enumeration date
11/09/2007
Last updated
03/04/2008
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