Provider Demographics
NPI:1114577160
Name:GO GREEN AMBULANCE CORP
Entity Type:Organization
Organization Name:GO GREEN AMBULANCE CORP
Other - Org Name:GO GREEN AMBULANCE CORP
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:YANIV
Authorized Official - Middle Name:
Authorized Official - Last Name:ABOHZIRA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-292-9904
Mailing Address - Street 1:23509 CANDLEWOOD WAY
Mailing Address - Street 2:
Mailing Address - City:WEST HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91307-1309
Mailing Address - Country:US
Mailing Address - Phone:818-292-9904
Mailing Address - Fax:
Practice Address - Street 1:7111 WINNETKA AVE STE 6
Practice Address - Street 2:
Practice Address - City:WINNETKA
Practice Address - State:CA
Practice Address - Zip Code:91306-3673
Practice Address - Country:US
Practice Address - Phone:818-292-9904
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-09-11
Last Update Date:2020-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance