Organization
CALSTATE MEDICAL
Active
Other names
CalState Medical Transportation
Organization subpart
No
Provider details
NPI number
Authorized official
GALUST GARRY GHUMASHYAN (OWNER)
(818) 744-3436
Entity
Organization
Contact information
Practice address
2019 N LINCOLN ST, BURBANK, CA 91504-3334
(818) 744-3436
Mailing address
10757 NASSAU AVE, SUNLAND, CA 91040-2545
(818) 744-3436
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
—
—
3416A0800X
Air Ambulance
—
—
3416L0300X
Land Ambulance
—
—
3416S0300X
Water Ambulance
—
—
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
08/19/2021
Last updated
08/19/2021
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