Organization
VICTORVILLE MEDICAL TRANSPORTATION
Active
Organization
VICTORVILLE MEDICAL TRANSPORTATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERNA HAMBARDZUMYAN (PRESIDENT)
(760) 951-1900
Entity
Organization
Contact information
Practice address
15159 PALMDALE RD, VICTORVILLE, CA 92392-2547
(760) 951-1900
(760) 951-1922
Mailing address
15159 PALMDALE RD, VICTORVILLE, CA 92392-2547
(760) 951-1900
(760) 951-1922
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
MTN01228F
—
CA
Enumeration date
05/09/2007
Last updated
07/21/2022
Update your record
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