Provider Demographics
NPI:1972772648
Name:UNITED AIR AND GROUND AMBULANCE INC.
Entity Type:Organization
Organization Name:UNITED AIR AND GROUND AMBULANCE INC.
Other - Org Name:UNITED AMBULANCE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OFFICER
Authorized Official - Prefix:MS
Authorized Official - First Name:MICHELE
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:LONGWELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:310-672-9100
Mailing Address - Street 1:510 N LA BREA AVE
Mailing Address - Street 2:
Mailing Address - City:INGLEWOOD
Mailing Address - State:CA
Mailing Address - Zip Code:90302-3005
Mailing Address - Country:US
Mailing Address - Phone:310-672-9100
Mailing Address - Fax:310-672-9104
Practice Address - Street 1:510 N LA BREA AVE
Practice Address - Street 2:
Practice Address - City:INGLEWOOD
Practice Address - State:CA
Practice Address - Zip Code:90302-3005
Practice Address - Country:US
Practice Address - Phone:310-672-9100
Practice Address - Fax:310-672-9104
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-26
Last Update Date:2008-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA19333416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport