Organization
ADULT MEDICAL TRANSPORTATION, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SERGEY BRUSILOVSKY (PRESIDENT)
(818) 705-0100
Entity
Organization
Contact information
Practice address
7048 DARBY AVE, RESEDA, CA 91335
(818) 705-0100
(818) 705-6200
Mailing address
7048 DARBY AVE, RESEDA, CA 91335
(818) 705-0100
(818) 705-6200
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
31250955
CA
343900000X
Non-emergency Medical Transport (VAN)
31250955
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
MTN00953F
—
CA
Enumeration date
10/16/2006
Last updated
09/26/2013
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