Provider Demographics
NPI:1689228058
Name:TRINITY AMBULANCE SAN DIEGO, INC
Entity Type:Organization
Organization Name:TRINITY AMBULANCE SAN DIEGO, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:LUIS
Authorized Official - Middle Name:
Authorized Official - Last Name:LOPEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:619-587-0015
Mailing Address - Street 1:2563 MAST WAY STE 203
Mailing Address - Street 2:
Mailing Address - City:CHULA VISTA
Mailing Address - State:CA
Mailing Address - Zip Code:91914-4539
Mailing Address - Country:US
Mailing Address - Phone:619-587-0015
Mailing Address - Fax:619-216-4428
Practice Address - Street 1:2563 MAST WAY STE 203
Practice Address - Street 2:
Practice Address - City:CHULA VISTA
Practice Address - State:CA
Practice Address - Zip Code:91914-4539
Practice Address - Country:US
Practice Address - Phone:619-587-0015
Practice Address - Fax:619-216-4428
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-07-24
Last Update Date:2019-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance