Provider Demographics
NPI:1588802144
Name:GOOD SAVIOR, LLC
Entity Type:Organization
Organization Name:GOOD SAVIOR, LLC
Other - Org Name:TRINITY AMBULANCE AND MEDICAL TRANSPORTATION
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:ATEF
Authorized Official - Middle Name:
Authorized Official - Last Name:AWADA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:562-307-2892
Mailing Address - Street 1:11745-47 FIRESTONE BLVD
Mailing Address - Street 2:
Mailing Address - City:NORWALK
Mailing Address - State:CA
Mailing Address - Zip Code:90650-8851
Mailing Address - Country:US
Mailing Address - Phone:562-964-7627
Mailing Address - Fax:562-863-6663
Practice Address - Street 1:8205 SOMERSET BLVD
Practice Address - Street 2:
Practice Address - City:PARAMOUNT
Practice Address - State:CA
Practice Address - Zip Code:90723-3518
Practice Address - Country:US
Practice Address - Phone:562-677-1000
Practice Address - Fax:562-677-1077
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-02-04
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA106873341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance