Organization
ORIGIN TRANSPORT LLC
Active
Other names
Origin Ambulance
Organization subpart
No
Provider details
NPI number
Authorized official
AREK DJERMAKIAN (CEO)
(949) 491-3352
Entity
Organization
Contact information
Practice address
6131 ORANGETHORPE AVE STE 170R, BUENA PARK, CA 90620-1315
(949) 491-3352
Mailing address
6131 ORANGETHORPE AVE STE 170R, BUENA PARK, CA 90620-1315
(949) 491-3352
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
—
—
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
08/09/2022
Last updated
10/25/2023
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