Healthcare Provider Details

I. General information

NPI: 1477483931
Provider Name (Legal Business Name): ROYALMED TRANSPORTATION LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/19/2026
Last Update Date: 05/19/2026
Certification Date: 05/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

600 E OLIVE AVE APT 217
BURBANK CA
91501-3302
US

IV. Provider business mailing address

600 E OLIVE AVE APT 217
BURBANK CA
91501-3302
US

V. Phone/Fax

Practice location:
  • Phone: 424-902-0848
  • Fax: 424-902-0848
Mailing address:
  • Phone: 424-902-0848
  • Fax: 424-902-0848

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State

VIII. Authorized Official

Name: DMITRII USANOV
Title or Position: CEO
Credential: USANOV
Phone: 424-902-0848