Provider Demographics
NPI:1609966910
Name:MEDAID TRANSPORTATION INC.
Entity type:Organization
Organization Name:MEDAID TRANSPORTATION INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:KHACHIK
Authorized Official - Middle Name:
Authorized Official - Last Name:HAGOPIAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-845-5510
Mailing Address - Street 1:1030 N BUENA VISTA ST
Mailing Address - Street 2:
Mailing Address - City:BURBANK
Mailing Address - State:CA
Mailing Address - Zip Code:91505-2319
Mailing Address - Country:US
Mailing Address - Phone:818-845-5510
Mailing Address - Fax:818-845-5668
Practice Address - Street 1:1030 N BUENA VISTA ST
Practice Address - Street 2:
Practice Address - City:BURBANK
Practice Address - State:CA
Practice Address - Zip Code:91505-2319
Practice Address - Country:US
Practice Address - Phone:818-845-5510
Practice Address - Fax:818-845-5668
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-15
Last Update Date:2007-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)