Organization
ANGEL MEDICAL TRANS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ABDALLA MOHAMED YAHYA (OWNER)
(602) 754-9317
Entity
Organization
Contact information
Practice address
1415 E APACHE BLVD APT 203, TEMPE, AZ 85281-5937
(602) 754-9317
(602) 595-0702
Mailing address
PO BOX 97523, PHOENIX, AZ 85060-7523
(602) 754-9317
(602) 595-0702
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
396377
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
396377
NON EMERGENCY MEDICAL TRANSPORTATION
AZ
Enumeration date
07/22/2009
Last updated
02/24/2010
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