Organization
1800MEDIVAN OR, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YURI HAMBARDZUMYAN (PRESIDENT)
(800) 633-4826
Entity
Organization
Contact information
Practice address
15159 PALMDALE RD, VICTORVILLE, CA 92392-2547
(800) 633-4826
(760) 951-1922
Mailing address
581 LANCASTER DR SE STE 382, SALEM, OR 97317-5642
(800) 633-4826
(760) 951-1922
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
04/16/2026
Last updated
04/16/2026
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