Provider Demographics
NPI:1962733402
Name:RESCUE ONE AMBULANCE CORPORATION
Entity type:Organization
Organization Name:RESCUE ONE AMBULANCE CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:C.E.O.
Authorized Official - Prefix:MR
Authorized Official - First Name:ANDREW
Authorized Official - Middle Name:AYAD
Authorized Official - Last Name:BOULOS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:562-252-2010
Mailing Address - Street 1:15540 TEXACO AVE
Mailing Address - Street 2:
Mailing Address - City:PARAMOUNT
Mailing Address - State:CA
Mailing Address - Zip Code:90723-3922
Mailing Address - Country:US
Mailing Address - Phone:877-220-0421
Mailing Address - Fax:877-330-3520
Practice Address - Street 1:15540 TEXACO AVE
Practice Address - Street 2:
Practice Address - City:PARAMOUNT
Practice Address - State:CA
Practice Address - Zip Code:90723-3922
Practice Address - Country:US
Practice Address - Phone:877-220-0421
Practice Address - Fax:877-330-3520
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-01-22
Last Update Date:2017-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance