Organization
MEDTRANS
Active
Other names
MedTrans
Organization subpart
No
Provider details
NPI number
Authorized official
MR. IGOR BELOBORODOV (MANAGER)
(818) 468-7922
Entity
Organization
Contact information
Practice address
11490 BURBANK BLVD,, #4E, NORTH HOLLYWOOD, CA 91601
(818) 783-4670
(818) 986-4628
Mailing address
14560 CLARK ST,, #201, SHERMAN OAKS, CA 91411
(818) 468-7922
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
64225484
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MTN01141F
MEDICAL TRANSPORTATION
CA
Enumeration date
07/02/2006
Last updated
10/24/2013
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