Organization
GRAND CARE MEDICAL TRANSPORTATION INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GAGIK IGNATENKO (CEO)
(818) 818-4697
Entity
Organization
Contact information
Practice address
1323 E BROADWAY APT 212, GLENDALE, CA 91205-4020
(818) 434-0122
Mailing address
415 E HARVARD ST, SUITE 203 A, GLENDALE, CA 91205
(818) 434-0122
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
11/09/2020
Last updated
11/09/2020
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