Organization
PRIORITY NON EMERGENCY MEDICAL TRANSPORTATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANUSH GRIGORYAN (PRESIDENT)
(818) 285-9882
Entity
Organization
Contact information
Practice address
7365 CARNELIAN ST, 122, RANCHO CUCAMONGA, CA 91730-1158
(818) 285-9882
Mailing address
7365 CARNELIAN ST, 122, RANCHO CUCAMONGA, CA 91730-1158
(818) 285-9882
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
D6736379
CA
Other
Enumeration date
12/04/2010
Last updated
02/17/2011
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