Provider Demographics
NPI:1225305626
Name:FRONTLINE MEDICS, LLC
Entity Type:Organization
Organization Name:FRONTLINE MEDICS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:KELLY
Authorized Official - Last Name:WELSER
Authorized Official - Suffix:JR
Authorized Official - Credentials:NREMT
Authorized Official - Phone:760-948-7775
Mailing Address - Street 1:17100B BEAR VALLEY RD # 405
Mailing Address - Street 2:
Mailing Address - City:VICTORVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:92395-5851
Mailing Address - Country:US
Mailing Address - Phone:760-948-7775
Mailing Address - Fax:
Practice Address - Street 1:10583 COTTONWOOD AVE
Practice Address - Street 2:
Practice Address - City:HESPERIA
Practice Address - State:CA
Practice Address - Zip Code:92345-2400
Practice Address - Country:US
Practice Address - Phone:760-948-7775
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-11-30
Last Update Date:2011-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance