Organization
STATEWIDE MEDICAL SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GARABET GARY MANJIKIAN (OWNER)
(760) 500-9411
Entity
Organization
Contact information
Practice address
38 W SIERRA MADRE BLVD STE K, SIERRA MADRE, CA 91024-2488
(626) 877-4700
Mailing address
38 W SIERRA MADRE BLVD STE K, SIERRA MADRE, CA 91024-2488
(760) 500-9411
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
10/22/2020
Last updated
03/16/2021
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