Provider Demographics
NPI:1649572868
Name:ASSOCIATED AMBULANCE INC
Entity Type:Organization
Organization Name:ASSOCIATED AMBULANCE INC
Other - Org Name:MERCY AMBULANCE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SOUHEIL
Authorized Official - Middle Name:
Authorized Official - Last Name:JAWAD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:858-699-8153
Mailing Address - Street 1:PO BOX 4645
Mailing Address - Street 2:
Mailing Address - City:DOWNEY
Mailing Address - State:CA
Mailing Address - Zip Code:90241-1645
Mailing Address - Country:US
Mailing Address - Phone:888-777-3851
Mailing Address - Fax:714-441-8773
Practice Address - Street 1:7700 IMPERIAL HWY
Practice Address - Street 2:SUITE D
Practice Address - City:DOWNEY
Practice Address - State:CA
Practice Address - Zip Code:90242-3469
Practice Address - Country:US
Practice Address - Phone:888-777-3851
Practice Address - Fax:714-441-8773
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-11-19
Last Update Date:2014-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA19703416L0300X
347E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
No347E00000XTransportation ServicesTransportation Broker