Organization
JACKOMO TRANSIT INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HAGOP LOUSINIAN (OWNER)
(626) 351-5474
Entity
Organization
Contact information
Practice address
3630 SHADOW GROVE RD, PASADENA, CA 91107-2112
(626) 351-5474
(626) 351-5474
Mailing address
3630 SHADOW GROVE RD, PASADENA, CA 91107-2112
(626) 351-5474
(626) 351-5474
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
10/03/2008
Last updated
10/03/2008
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