Organization
A.V.D. MED TRANS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ARTAK TAVTYAN (OWNER)
(818) 588-7443
Entity
Organization
Contact information
Practice address
1013 WESTERN AVE, GLENDALE, CA 91201-5254
(818) 588-7434
Mailing address
1013 WESTERN AVE, GLENDALE, CA 91201-5254
(818) 588-7434
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
46362789
EIN
CA
Enumeration date
03/13/2015
Last updated
07/21/2022
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