Provider Demographics
NPI:1164669420
Name:ROYALTY AMBULANCE SERVICES INC.
Entity Type:Organization
Organization Name:ROYALTY AMBULANCE SERVICES INC.
Other - Org Name:ROYALTY AMBULANCE SERVICES INC.
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:SIMON
Authorized Official - Middle Name:
Authorized Official - Last Name:AGOPIAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-550-5833
Mailing Address - Street 1:3235 N SAN FERNANDO RD
Mailing Address - Street 2:UNIT # 6
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90065-1443
Mailing Address - Country:US
Mailing Address - Phone:818-550-5833
Mailing Address - Fax:818-550-1993
Practice Address - Street 1:3235 N SAN FERNANDO RD
Practice Address - Street 2:UNIT # 6
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90065-1443
Practice Address - Country:US
Practice Address - Phone:818-550-5833
Practice Address - Fax:818-550-1993
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-01-08
Last Update Date:2010-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport