Provider Demographics
NPI:1447583810
Name:CALIFORNIA MEDICAL RESPONSE
Entity Type:Organization
Organization Name:CALIFORNIA MEDICAL RESPONSE
Other - Org Name:CAL-MED AMBULANCE
Other - Org Type:Other Name
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:RONALD
Authorized Official - Middle Name:A
Authorized Official - Last Name:MARKS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:562-968-1818
Mailing Address - Street 1:1557 SANTA ANITA AVE
Mailing Address - Street 2:
Mailing Address - City:SOUTH EL MONTE
Mailing Address - State:CA
Mailing Address - Zip Code:91733-3313
Mailing Address - Country:US
Mailing Address - Phone:562-968-1818
Mailing Address - Fax:562-968-1808
Practice Address - Street 1:1557 SANTA ANITA AVE
Practice Address - Street 2:
Practice Address - City:SOUTH EL MONTE
Practice Address - State:CA
Practice Address - Zip Code:91733-3313
Practice Address - Country:US
Practice Address - Phone:562-968-1818
Practice Address - Fax:562-968-1808
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-09-16
Last Update Date:2021-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA1982341600000X
CA0000343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
No343900000XTransportation ServicesNon-emergency Medical Transport (VAN)