Provider Demographics
NPI:1043904485
Name:CITY OF SAN DIEGO
Entity type:Organization
Organization Name:CITY OF SAN DIEGO
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:FIRE CHIEF
Authorized Official - Prefix:
Authorized Official - First Name:COLIN
Authorized Official - Middle Name:THOMAS
Authorized Official - Last Name:STOWELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:619-533-4301
Mailing Address - Street 1:PO BOX 269110
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95826-9110
Mailing Address - Country:US
Mailing Address - Phone:916-669-4621
Mailing Address - Fax:
Practice Address - Street 1:1222 1ST AVE
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92101-4101
Practice Address - Country:US
Practice Address - Phone:619-533-4300
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-06-07
Last Update Date:2023-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport