Organization
1800MEDIVAN, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YURI HAMBARDZUMYAN (OWNER)
(747) 200-0001
Entity
Organization
Contact information
Practice address
15159 PALMDALE RD, VICTORVILLE, CA 92392-2547
(747) 200-0001
Mailing address
PO BOX 10848, GLENDALE, CA 91209-3848
(747) 200-0001
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
10/15/2020
Last updated
02/22/2022
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