Organization · NPI-2
All Terrain Rescue LLC
Emergency Medicine, Emergency Medical Services · Costa Mesa, CA
NPI number1558059071
StatusActive
Last updated in NPPESApr 25, 2023
Details
- NPI
- 1558059071
- Entity type
- Organization (NPI-2)
- Legal business name
- All Terrain Rescue LLC
- Organization subpart
- No
- Enumeration date
- Apr 25, 2023
- Certification date
- Apr 24, 2023
- Last updated
- Apr 25, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207PE0004X | Emergency Medicine, Emergency Medical Services | – | – | Yes |
| 146N00000X | Emergency Medical Technician, Basic | – | – | |
| 207P00000X | Emergency Medicine | – | – | |
| 146L00000X | Emergency Medical Technician, Paramedic | – | – | |
| 146M00000X | Emergency Medical Technician, Intermediate | – | – |
Practice location
419 Hamilton St Apt A101Costa Mesa, CA 92627-5707
Phone 949-577-2663
Mailing address
419 Hamilton St Apt A101Costa Mesa, CA 92627-5707
Phone 949-577-2663
Other practice locations
3412 Lantana Ln
Costa Mesa, CA 92626-1748
Costa Mesa, CA 92626-1748
Phone 202-302-9510
Authorized official
Joshua Bobko
Medical Director
2023029510
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