Organization
VITASMEDTRANS,INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. VILORY MEZHERITSKY (PRESIDENT)
(818) 761-9784
Entity
Organization
Contact information
Practice address
4516 SEVENOAKS CT, WESTLAKE VILLAGE, CA 91361-4311
(818) 761-9784
(818) 761-9786
Mailing address
5118 VINELAND AVE FL 2, NORTH HOLLYWOOD, CA 91601-3814
(818) 761-9784
(818) 761-9786
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
MTN00523F
CA
Other
Enumeration date
12/29/2006
Last updated
08/22/2020
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