Organization
SOUTHWEST MEDICAL TRANSPORTATION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GIORGI MIKHAKOV (CEO)
(818) 203-5137
Entity
Organization
Contact information
Practice address
21108 STANWELL ST, CHATSWORTH, CA 91311-2350
(818) 612-7549
(818) 698-6574
Mailing address
21108 STANWELL ST, CHATSWORTH, CA 91311-2350
(818) 612-7549
(818) 698-6574
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
347C00000X
Private Vehicle
—
—
Other
Enumeration date
03/20/2023
Last updated
03/20/2023
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