Organization
LIFELINE MEDICAL TRANSPORTATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANNA MINASYAN (OWNER)
(916) 837-0452
Entity
Organization
Contact information
Practice address
11082 COLOMA RD STE 10, RANCHO CORDOVA, CA 95670-2875
(916) 638-2363
(916) 638-2364
Mailing address
11082 COLOMA RD STE 10, RANCHO CORDOVA, CA 95670-2875
(916) 638-2364
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
—
—
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
11/17/2023
Last updated
11/21/2023
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