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Organization

LUCKY MEDICAL TRASPORTATION INC

Active
Other names
DBA Lucky Medical Trasportation
Organization subpart
No

Provider details

NPI number
Authorized official
MR. IGOR GRINBERG (PRESIDENT)
(323) 651-3295
Entity
Organization

Contact information

Practice address
8230 BEVERLY BLVD, SUITE 29, LOS ANGELES, CA 90048-4528
(323) 651-3295
(323) 651-3296
Mailing address
8230 BEVERLY BLVD, SUITE 29, LOS ANGELES, CA 90048-4528
(323) 651-3295
(323) 651-3296

Taxonomy

Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
MTN01092F
CA
Enumeration date
11/22/2006
Last updated
08/22/2020
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