Organization
MEDISERVE TRANSPORTATION INC
Active
Other names
MedExpress Services
Organization subpart
No
Provider details
NPI number
Authorized official
SHERVIN MAHMOUDIAN (CHIEF EXECUTIVE)
(323) 778-1219
Entity
Organization
Contact information
Practice address
6739 S VICTORIA AVE, LOS ANGELES, CA 90043-4617
(323) 778-1219
(323) 866-0808
Mailing address
6739 S VICTORIA AVE, LOS ANGELES, CA 90043-4617
(323) 778-1219
(323) 866-0808
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
MTN00686G
—
CA
Enumeration date
11/22/2006
Last updated
08/22/2020
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