Organization
ADVANCED MEDICAL TRANSPORTATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. RENATA SHLAIN (PRESIDENT)
(323) 650-0466
Entity
Organization
Contact information
Practice address
501 S FAIRFAX AVE STE 207, LOS ANGELES, CA 90036-3198
(323) 456-1333
(323) 933-8223
Mailing address
501 S FAIRFAX AVE STE 207, LOS ANGELES, CA 90036-3198
(323) 456-1333
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
MTN00871G
—
CA
Enumeration date
04/30/2007
Last updated
08/22/2020
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