Organization
MEDTRANS INC
Active
Other names
MEDTRANS
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PETER AVETISYAN (OWNER)
(323) 317-0178
Entity
Organization
Contact information
Practice address
345 S WOODS AVE, LOS ANGELES, CA 90022-1941
(323) 888-7750
Mailing address
345 S WOODS AVE, LOS ANGELES, CA 90022-1941
(323) 888-7750
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
—
—
343900000X
Non-emergency Medical Transport (VAN)
Primary
C04479652
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CA482902
MEDICARE NORCAL
CA
01
—
CB378164
MEDICARE SOCAL
CA
Enumeration date
09/25/2008
Last updated
10/15/2021
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