Shoreline Ambulance Company, LLC

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

SHORELINE AMBULANCE COMPANY, LLC

Practice address

17762 Metzler LN
Huntington Beach, CA 92647-6245

Phone

(714) 847-9107

Fax

(714) 848-6943

NPI assigned

May 10, 2011

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Samuel Hauptman

Title

Owner

Phone

(323) 937-4308

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1304985600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1357084800000",
    "number": "1033401005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17762 METZLER LN",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926476245",
            "telephone_number": "714-847-9107",
            "fax_number": "714-848-6943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17762 METZLER LN",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926476245",
            "telephone_number": "714-847-9107",
            "fax_number": "714-848-6943"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHORELINE AMBULANCE COMPANY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-10",
        "last_updated": "2013-01-02",
        "status": "A",
        "authorized_official_last_name": "HAUPTMAN",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "323-937-4308"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Noureldin Hussein Shoreibah, DDS
• Shoreline Ambulance Inc
• Shoreline Physical Therapy, Inc.
• Megan Short
• Bojil Petrov Shterev, PTA
• Rachel Shubin

• Land Ambulance in Huntington Beach, CA
• Providers in Huntington Beach, CA by specialty
• Land Ambulance in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.