Provider Demographics
NPI:1538705207
Name:VITAL CARE AMBULANCE INC
Entity Type:Organization
Organization Name:VITAL CARE AMBULANCE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:NAZIK
Authorized Official - Middle Name:
Authorized Official - Last Name:KAZARYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:323-747-1072
Mailing Address - Street 1:1480 COLORADO BLVD STE 135
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90041-2373
Mailing Address - Country:US
Mailing Address - Phone:323-747-1072
Mailing Address - Fax:323-507-2386
Practice Address - Street 1:1480 COLORADO BLVD STE 135
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90041-2373
Practice Address - Country:US
Practice Address - Phone:323-747-1072
Practice Address - Fax:323-507-2386
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-11-18
Last Update Date:2019-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport