MEDICARE: EZ TRANS, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	347E00000X	Transportation Broker

General Provider Information

NPI Number	:	1285163568
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EZ TRANS, INC.

Provider Business Mailing Address
First Line	:	459 W BROADWAY UNIT 10B
Second Line	:
City	:	GLENDALE
State	:	CA
Zip	:	91204-4120
Country	:	US
Telephone Number	:	800-551-1555
Fax Number	:	818-662-8835

Provider Business Practice Location Address
First Line	:	459 W BROADWAY UNIT 10B
Second Line	:
City	:	GLENDALE
State	:	CA
Zip	:	91204-4120
Country	:	US
Telephone Number	:	800-551-1555
Fax Number	:	818-662-8835

Authorized Official
Title or Position	:	PRESIDENT
Name	:	SEDA OHANESSIAN
Credential	:
Telephone Number	:	800-551-1555

Provider Enumeration Date	:	06/08/2017
Last Update Date	:	07/21/2022

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Directions to “EZ TRANS, INC. ” Practice Location

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