Organization
ULTIMATE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. NUBAR SHAKARYAN (CEO)
(818) 610-1717
Entity
Organization
Contact information
Practice address
6269 VARIEL AVE, SUITE A, WOODLAND HILLS, CA 91367-2527
(818) 610-1717
(818) 610-1716
Mailing address
6269 VARIEL AVE, SUITE A, WOODLAND HILLS, CA 91367-2527
(818) 610-1717
(818) 610-1716
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
2039
CA
Other
Enumeration date
08/23/2010
Last updated
08/23/2010
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