Provider Demographics
NPI:1275893455
Name:AMERICAN AMBULANCE LLC
Entity Type:Organization
Organization Name:AMERICAN AMBULANCE LLC
Other - Org Name:AMERICAN AMBULANCE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:GEORGE
Authorized Official - Middle Name:J
Authorized Official - Last Name:RUIZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:562-310-8052
Mailing Address - Street 1:PO BOX 8325
Mailing Address - Street 2:
Mailing Address - City:FOUNTAIN VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:92728-8325
Mailing Address - Country:US
Mailing Address - Phone:855-247-3687
Mailing Address - Fax:855-247-3687
Practice Address - Street 1:1421 E BORCHARD AVE
Practice Address - Street 2:
Practice Address - City:SANTA ANA
Practice Address - State:CA
Practice Address - Zip Code:92705-4414
Practice Address - Country:US
Practice Address - Phone:855-247-3687
Practice Address - Fax:855-247-3687
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-05-22
Last Update Date:2013-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance