Provider Demographics
NPI:1558306738
Name:MEDRESPONSE INC.
Entity Type:Organization
Organization Name:MEDRESPONSE INC.
Other - Org Name:MEDRESPONSE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:ANDREW
Authorized Official - Middle Name:I
Authorized Official - Last Name:STEPANSKY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-517-5546
Mailing Address - Street 1:PO BOX 8379
Mailing Address - Street 2:
Mailing Address - City:VAN NUYS
Mailing Address - State:CA
Mailing Address - Zip Code:91409-8379
Mailing Address - Country:US
Mailing Address - Phone:818-442-9222
Mailing Address - Fax:818-442-9223
Practice Address - Street 1:1907 BORDER AVE
Practice Address - Street 2:
Practice Address - City:TORRANCE
Practice Address - State:CA
Practice Address - Zip Code:90501-3606
Practice Address - Country:US
Practice Address - Phone:866-262-8569
Practice Address - Fax:310-733-5689
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-19
Last Update Date:2020-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
341600000X
CA18603416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
No341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAZ538OtherPTAN
CA1558306738Medicaid
Z538Medicare PIN