Provider Demographics
NPI:1700063864
Name:SOUTH BAY COMPANIES GROUP, INC.
Entity Type:Organization
Organization Name:SOUTH BAY COMPANIES GROUP, INC.
Other - Org Name:SOUTH BAY AMBULANCE SERVICE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:EDUARDO
Authorized Official - Middle Name:
Authorized Official - Last Name:PARRA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:310-798-3600
Mailing Address - Street 1:133 W 155TH ST
Mailing Address - Street 2:
Mailing Address - City:GARDENA
Mailing Address - State:CA
Mailing Address - Zip Code:90248-2203
Mailing Address - Country:US
Mailing Address - Phone:310-767-1300
Mailing Address - Fax:310-767-1303
Practice Address - Street 1:133 W 155TH ST
Practice Address - Street 2:
Practice Address - City:GARDENA
Practice Address - State:CA
Practice Address - Zip Code:90248-2203
Practice Address - Country:US
Practice Address - Phone:310-767-1300
Practice Address - Fax:310-767-1303
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-30
Last Update Date:2014-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA1930341600000X, 3416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
No341600000XTransportation ServicesAmbulance