Organization
MED LIFE INC
Active
Other names
MED LIFE INC
Organization subpart
No
Provider details
NPI number
Authorized official
SEVAN TADEVOSYAN (C.E.O.)
(818) 987-8113
Entity
Organization
Contact information
Practice address
417 ARDEN AVE # 114A, GLENDALE, CA 91203-4045
(818) 987-8113
(818) 484-3575
Mailing address
417 ARDEN AVE # 114A, GLENDALE, CA 91203-4045
(818) 987-8113
(818) 484-3575
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
120168078
—
CA
05
—
205JFP58
—
CA
Enumeration date
04/16/2018
Last updated
09/04/2021
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