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Organization

AMARIS MEDICAL TRANSPORT LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ANDY TACAY RN,BSN (OWNER)
(818) 612-8511
Entity
Organization

Contact information

Practice address
12230 SHADY HOLLOW LN, PORTER RANCH, CA 91326-3862
(818) 612-8511
Mailing address
12230 SHADY HOLLOW LN, PORTER RANCH, CA 91326-3862
(818) 612-8511

Taxonomy

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

Other

Enumeration date
03/21/2026
Last updated
03/21/2026
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