Eastwest Proto Inc

Primary specialty

AmbulanceTaxonomy code 341600000X

License

CHP1832 Issued in CA

Legal business name

EASTWEST PROTO INC

Doing business as

LifeLine Ambulance

Practice address

6605 E Washington Blvd
Commerce, CA 90040-1813

Phone

(323) 832-0760

Fax

(323) 832-0781

NPI assigned

Aug 25, 2006

Last updated

Jun 9, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Genady Gorin

Title

Vice President Ceo

Phone

(818) 335-2980

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• LifeLine Ambulance Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

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

{
    "created_epoch": "1156464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1749427200000",
    "number": "1750498440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6605 E WASHINGTON BLVD",
            "city": "COMMERCE",
            "state": "CA",
            "postal_code": "900401813",
            "telephone_number": "323-832-0760",
            "fax_number": "323-832-0781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6605 E WASHINGTON BLVD",
            "city": "COMMERCE",
            "state": "CA",
            "postal_code": "900401813",
            "telephone_number": "323-832-0760",
            "fax_number": "323-832-0781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASTWEST PROTO INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-25",
        "last_updated": "2025-06-09",
        "certification_date": "2025-06-09",
        "status": "A",
        "authorized_official_last_name": "GORIN",
        "authorized_official_first_name": "GENADY",
        "authorized_official_title_or_position": "VICE PRESIDENT CEO",
        "authorized_official_telephone_number": "818-335-2980",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "CA",
            "license": "CHP1832",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "MTE01106F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LifeLine Ambulance",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Dan U. Duru, PHD
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• Miesha N Edwards, ACSW
• Sean Edwards
• Soledad Ego-Aguirre
• Vaerie Eiland

• Ambulance in Commerce, CA
• Providers in Commerce, CA by specialty
• Ambulance in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.