Organization
SILVER AGE NONE-EMERGENCY MEDICAL TRANSPORTATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MILANA VAISMAN (PRESIDENT)
(818) 285-0585
Entity
Organization
Contact information
Practice address
14540 HAMLIN ST, SUITE 1, VAN NUYS, CA 91411-1626
(818) 285-0585
(818) 285-0585
Mailing address
14540 HAMLIN ST, SUITE 1, VAN NUYS, CA 91411-1626
(818) 285-0585
(818) 285-0585
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
285911-02
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MTN01149F
MEDI-CAL
CA
Enumeration date
07/03/2006
Last updated
08/06/2012
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