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Organization
CAPTAIN MED GO LLC
Active
Organization
CAPTAIN MED GO LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL KHACHATOURIAN (CEO)
(818) 423-6404
Entity
Organization
Contact information
Practice address
4116 NEW YORK AVE, LA CRESCENTA, CA 91214-3353
(818) 423-6404
Mailing address
4116 NEW YORK AVE, LA CRESCENTA, CA 91214-3353
(818) 423-6404
Taxonomy
Speciality
Code
Description
License number
State
342000000X
Transportation Network Company
Primary
—
NULL
Other
Enumeration date
05/29/2024
Last updated
06/03/2024
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