Provider Demographics
NPI:1417055534
Name:MAURAN AMBULANCE SERVICE INC
Entity Type:Organization
Organization Name:MAURAN AMBULANCE SERVICE INC
Other - Org Name:MAURAN AMBULANCE SERVICE INC.
Other - Org Type:Other Name
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARDA
Authorized Official - Middle Name:
Authorized Official - Last Name:SAFARYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-365-3182
Mailing Address - Street 1:1211 1ST ST
Mailing Address - Street 2:
Mailing Address - City:SAN FERNANDO
Mailing Address - State:CA
Mailing Address - Zip Code:91340-2802
Mailing Address - Country:US
Mailing Address - Phone:818-365-3182
Mailing Address - Fax:818-837-1143
Practice Address - Street 1:1211 1ST ST
Practice Address - Street 2:
Practice Address - City:SAN FERNANDO
Practice Address - State:CA
Practice Address - Zip Code:91340-2802
Practice Address - Country:US
Practice Address - Phone:818-365-3182
Practice Address - Fax:818-837-1143
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-20
Last Update Date:2023-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes341600000XTransportation ServicesAmbulance
No207PE0004XAllopathic & Osteopathic PhysiciansEmergency MedicineEmergency Medical ServicesGroup - Single Specialty
No3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAMTE00051GMedicaid
CAMTE00051GMedicaid