Provider Demographics
NPI:1366304867
Name:BLS CPR & FIRST AID OUTREACH
Entity type:Organization
Organization Name:BLS CPR & FIRST AID OUTREACH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO & PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MONIQUE
Authorized Official - Middle Name:
Authorized Official - Last Name:JEFFERSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:310-867-3925
Mailing Address - Street 1:2551 GALENA AVE # 1232
Mailing Address - Street 2:
Mailing Address - City:SIMI VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:93065-1305
Mailing Address - Country:US
Mailing Address - Phone:310-867-3725
Mailing Address - Fax:
Practice Address - Street 1:2551 GALENA AVE # 1232
Practice Address - Street 2:
Practice Address - City:SIMI VALLEY
Practice Address - State:CA
Practice Address - Zip Code:93065-1305
Practice Address - Country:US
Practice Address - Phone:310-867-3725
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-12-02
Last Update Date:2025-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174H00000XOther Service ProvidersHealth EducatorGroup - Single Specialty