Organization
PRO EMT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDGAR GABRIELYAN (CEO)
(323) 454-3311
Entity
Organization
Contact information
Practice address
655 N CENTRAL AVE UNIT 1773, GLENDALE, CA 91203-1422
(323) 454-3311
Mailing address
655 N CENTRAL AVE UNIT 1773, GLENDALE, CA 91203-1422
(323) 454-3311
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
12/08/2025
Last updated
12/08/2025
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