Organization
EXPRESS MEDICAL TRANSPORTATION INC.
Active
Organization
EXPRESS MEDICAL TRANSPORTATION INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. VARTAN PETROSSIAN (PRESIDENT)
(909) 946-6964
Entity
Organization
Contact information
Practice address
155 C ST, STE B., UPLAND, CA 91786-6090
(909) 946-6964
(909) 946-9306
Mailing address
PO BOX 2037, UPLAND, CA 91785-2037
(909) 946-6964
(909) 946-9306
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
342-9430-6
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MTN00326F
ALLIED HEALTH PROVIDER
CA
Enumeration date
03/06/2007
Last updated
08/22/2020
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