Organization
ORIENT EXPRESS CORPORATION
Active
Other names
Medic Express (DBA)
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SUSANNA ABADZHYAN (CEO/PRESIDENT)
(818) 349-2199
Entity
Organization
Contact information
Practice address
20111 ELKWOOD ST., WINNETKA, CA 91306-2311
(818) 349-2199
(818) 341-1291
Mailing address
20111 ELKWOOD ST., WINNETKA, CA 91306-2311
(818) 349-2199
(818) 341-1291
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
121935
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MTN01072F
MEDI-CAL PROVIDER NUMBER
CA
Enumeration date
05/17/2007
Last updated
09/05/2012
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