Provider Demographics
NPI:1851698609
Name:EXPRESS AMBULANCE INC
Entity Type:Organization
Organization Name:EXPRESS AMBULANCE INC
Other - Org Name:FIRST CHOICE AMBULANCE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:
Authorized Official - Last Name:INNIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:858-922-2410
Mailing Address - Street 1:5663 BALBOA AVE
Mailing Address - Street 2:SUITE 462
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92111-2705
Mailing Address - Country:US
Mailing Address - Phone:858-922-2410
Mailing Address - Fax:858-345-3365
Practice Address - Street 1:5595 MAGNATRON BLVD
Practice Address - Street 2:#T
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92111-1310
Practice Address - Country:US
Practice Address - Phone:858-503-6900
Practice Address - Fax:858-836-1800
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-02-14
Last Update Date:2013-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport