Organization
MEDRIDE TRANSPORT, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDRANIK GEVORKYAN (PRESIDENT)
(818) 488-1408
Entity
Organization
Contact information
Practice address
10315 WOODLEY AVE, #201, GRANADA HILLS, CA 91344-6937
(818) 488-1408
Mailing address
10315 WOODLEY AVE, #201, GRANADA HILLS, CA 91344-6937
(818) 488-1408
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
CA
Other
Enumeration date
03/13/2017
Last updated
03/13/2017
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