Provider Demographics
NPI:1659456515
Name:ALLIED MEDICAL SERVICE OF CALIF INC
Entity Type:Organization
Organization Name:ALLIED MEDICAL SERVICE OF CALIF INC
Other - Org Name:KING AMERICAN AMBULANCE COMPANY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:ANN
Authorized Official - Middle Name:JOSETTE
Authorized Official - Last Name:ENGMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:415-931-3000
Mailing Address - Street 1:2570 BUSH ST
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94115-3002
Mailing Address - Country:US
Mailing Address - Phone:415-931-1400
Mailing Address - Fax:415-931-1875
Practice Address - Street 1:2570 BUSH ST
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94115-3002
Practice Address - Country:US
Practice Address - Phone:415-931-1400
Practice Address - Fax:415-931-1875
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-26
Last Update Date:2024-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA1497341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAZZZ31253ZMedicaid
CAZZZ89623ZMedicare ID - Type UnspecifiedMEDICARE