Lifewest Southern California
NPI #1386117711 in San Diego, California
Provider Information
- NPI Number
- 1386117711
- Entity Type
- Organization
- Organization Name
- Lifewest Southern California
- Primary Specialty
- Ambulance - Land Transport
- Enumeration Date
- Jan 8, 2019
- Last Updated
- Jan 9, 2019
Practice Location
- Address
- 4223 PONDEROSA AVE STE A
- City
- San Diego
- State
- California
- ZIP Code
- 92123-1529
- Phone
- (480) 874-6700
Authorized Official
- Name
- GARY TENNYSON
- Title
- SHAREHOLDER
- Phone
- (775) 722-0123
Specialties & Taxonomy Codes
| Specialty |
|---|
| Ambulance |
| Ambulance - Land Transport — Land Transport |
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