Organization
UNIVERSAL MEDICAL TRANSPORTATION, INC.
Active
Organization
UNIVERSAL MEDICAL TRANSPORTATION, INC.
Active
Other names
Sunny Medical Transportation
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TIMUR RADZHABOV (MANAGER)
(310) 559-0888
Entity
Organization
Contact information
Practice address
3739 OVERLAND AVE, LOS ANGELES, CA 90034-6311
(310) 559-0888
(310) 559-1568
Mailing address
212 19TH ST, SANTA MONICA, CA 90402-2408
(310) 559-0888
(310) 559-1568
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
0000121902-0001-7
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
MTN01137F
—
CA
Enumeration date
10/18/2007
Last updated
10/18/2007
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