MEDICARE: COMFORT MEDICAL TRANSPORTATION

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	343900000X	Non-emergency Medical Transport (VAN)

General Provider Information

NPI Number	:	1942409867
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COMFORT MEDICAL TRANSPORTATION

Provider Business Mailing Address
First Line	:	2900 FRANKLIN ST
Second Line	:
City	:	LA CRESCENTA
State	:	CA
Zip	:	91214-2808
Country	:	US
Telephone Number	:	818-765-5852
Fax Number	:	818-503-6289

Provider Business Practice Location Address
First Line	:	6631 LAUREL CANYON BLVD STE 14
Second Line	:
City	:	N HOLLYWOOD
State	:	CA
Zip	:	91606-1546
Country	:	US
Telephone Number	:	818-765-5852
Fax Number	:	818-503-6289

Authorized Official
Title or Position	:	PRESIDENT
Name	:	ARTHUR GRIGORYAN
Credential	:
Telephone Number	:	818-765-5852

Provider Enumeration Date	:	07/11/2007
Last Update Date	:	09/08/2008

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