Provider Demographics
NPI:1558346775
Name:CITY OF LONG BEACH
Entity Type:Organization
Organization Name:CITY OF LONG BEACH
Other - Org Name:CITY OF LONG BEACH FIRE DEPT
Other - Org Type:Other Name
Authorized Official - Title/Position:FINANCIAL SERVICES OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:DIANA
Authorized Official - Middle Name:
Authorized Official - Last Name:AMBRIZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:562-570-7109
Mailing Address - Street 1:411 W OCEAN BLVD LBBY
Mailing Address - Street 2:
Mailing Address - City:LONG BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90802-4511
Mailing Address - Country:US
Mailing Address - Phone:562-570-7600
Mailing Address - Fax:562-570-6783
Practice Address - Street 1:411 W OCEAN BLVD LBBY
Practice Address - Street 2:
Practice Address - City:LONG BEACH
Practice Address - State:CA
Practice Address - Zip Code:90802-4511
Practice Address - Country:US
Practice Address - Phone:562-570-7600
Practice Address - Fax:562-570-6783
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-12-09
Last Update Date:2021-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA590086028OtherRRB
CAZZZ75152ZMedicaid
CAZA291Medicare PIN