Organization
MEDCARE MEDICAL TRANSPORTATION, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAVEL RASKIN (CEO)
(818) 505-0846
Entity
Organization
Contact information
Practice address
8531 LANKERSHIM BLVD STE B, SUN VALLEY, CA 91352-3127
(818) 786-4572
Mailing address
8531 LANKERSHIM BLVD STE B, SUN VALLEY, CA 91352-3127
(818) 786-4572
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
MTN01053G
—
CA
Enumeration date
01/05/2007
Last updated
03/29/2011
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