Provider Demographics
NPI:1659655025
Name:PIHI EMS URBAN AND WILDERNESS SEARCH AND RESCUE
Entity Type:Organization
Organization Name:PIHI EMS URBAN AND WILDERNESS SEARCH AND RESCUE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:COREY
Authorized Official - Middle Name:RENE
Authorized Official - Last Name:BROOKS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:562-631-9024
Mailing Address - Street 1:8572 WESTERN AVE
Mailing Address - Street 2:#9
Mailing Address - City:BUENA PARK
Mailing Address - State:CA
Mailing Address - Zip Code:90620-3975
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:8572 WESTERN AVE
Practice Address - Street 2:#9
Practice Address - City:BUENA PARK
Practice Address - State:CA
Practice Address - Zip Code:90620-3975
Practice Address - Country:US
Practice Address - Phone:562-631-9024
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-10-04
Last Update Date:2011-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA69175473416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport