Organization
EXCEL TRANSPORTATION, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MIKHAIL KAGANOVSKIY (PRESIDENT)
(818) 878-0719
Entity
Organization
Contact information
Practice address
26011 ALIZIA CANYON DR UNIT D, CALABASAS, CA 91302-2608
(818) 878-0719
(323) 851-3791
Mailing address
639 N FAIRFAX AVE FL 2, LOS ANGELES, CA 90036-1714
(818) 878-0719
(323) 851-3791
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
MTN01091F
—
CA
Enumeration date
11/21/2006
Last updated
08/22/2020
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