Organization
MAGTRANS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIDGETTE POVOLOTSKY (PRESIDENT)
(323) 851-9100
Entity
Organization
Contact information
Practice address
2065 VENICE BLVD, LOS ANGELES, CA 90006-5222
(323) 851-9100
(323) 766-0900
Mailing address
2065 VENICE BLVD, LOS ANGELES, CA 90006-5222
(323) 851-9100
(323) 766-0900
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
MTN01156F
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
MTN01156F
—
CA
Enumeration date
10/19/2006
Last updated
02/05/2011
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