Lifecare Ambulance LLC

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

C2093628

Legal business name

LIFECARE AMBULANCE LLC

Practice address

3677 San Gabriel River Pkwy
Pico Rivera, CA 90660-1403

Phone

(855) 888-1617

NPI assigned

Dec 20, 2012

Organization subpart

No

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

Authorized official

Name

Mr. Osvaldo Fragoso

Title

Vice President

Phone

(855) 708-2624

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1355961600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1355961600000",
    "number": "1770829699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3677 SAN GABRIEL RIVER PKWY",
            "city": "PICO RIVERA",
            "state": "CA",
            "postal_code": "906601403",
            "telephone_number": "855-888-1617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3677 SAN GABRIEL RIVER PKWY",
            "city": "PICO RIVERA",
            "state": "CA",
            "postal_code": "906601403",
            "telephone_number": "855-888-1617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFECARE AMBULANCE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-20",
        "last_updated": "2012-12-20",
        "status": "A",
        "authorized_official_last_name": "FRAGOSO",
        "authorized_official_first_name": "OSVALDO",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "855-708-2624",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": "C2093628",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Blanca Rosa Lemus, LVN
• Erica Lemus
• Maria Leon-Martinez
• Maria Leon
• Brianna F Lesaca
• Sung-En Lin
• Rebecca Lira, BA
• Isabel Liu, PHARM D
• Mico Kuo Liu, OD
• Steve Li Ming Liu, R.D.H.

• Land Ambulance in Pico Rivera, CA
• Providers in Pico Rivera, CA by specialty
• Land Ambulance in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2012; 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.