Organization
GENERAL MEDICAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GAGIK JOEY MKHITARYAN (DIRECTOR OF TRANSPORTATION)
(818) 482-9567
Entity
Organization
Contact information
Practice address
1160 N CENTRAL AVE STE 203, GLENDALE, CA 91202-3065
(818) 482-9567
Mailing address
1160 N CENTRAL AVE STE 203, GLENDALE, CA 91202-3065
(818) 482-9567
Taxonomy
Speciality
Code
Description
License number
State
3416A0800X
Air Ambulance
—
—
3416L0300X
Land Ambulance
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
347C00000X
Private Vehicle
Primary
—
—
Other
Enumeration date
08/26/2011
Last updated
08/26/2011
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