Southland Ambulance LLC

Primary specialty

AmbulanceTaxonomy code 341600000X

Legal business name

SOUTHLAND AMBULANCE LLC

Practice address

960 N Alfred St
206
West Hollywood, CA 90069-6302

Phone

(310) 739-7004

Fax

(323) 375-1448

NPI assigned

Aug 29, 2011

Organization subpart

No

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

Authorized official

Name

Mr. Brick Wayne Ashcraft

Title

President

Phone

(310) 739-7004

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1314576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1314576000000",
    "number": "1700167277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "960 N ALFRED ST",
            "address_2": "206",
            "city": "WEST HOLLYWOOD",
            "state": "CA",
            "postal_code": "900696302",
            "telephone_number": "310-739-7004",
            "fax_number": "323-375-1448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "960 N ALFRED ST",
            "address_2": "206",
            "city": "WEST HOLLYWOOD",
            "state": "CA",
            "postal_code": "900696302",
            "telephone_number": "310-739-7004",
            "fax_number": "323-375-1448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHLAND AMBULANCE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-29",
        "last_updated": "2011-08-29",
        "status": "A",
        "authorized_official_last_name": "ASHCRAFT",
        "authorized_official_first_name": "BRICK",
        "authorized_official_middle_name": "WAYNE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-739-7004",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Ambulance in West Hollywood, CA
• Providers in West Hollywood, CA by specialty
• Ambulance in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2011; 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.