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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