Healthcare Provider Details

I. General information

NPI: 1275583387
Provider Name (Legal Business Name): METROPOLITAN AMBULATORY SERVICES INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/11/2006
Last Update Date: 09/11/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1255 S GLENDALE AVE
GLENDALE CA
91205-3204
US

IV. Provider business mailing address

1255 S GLENDALE AVE
GLENDALE CA
91205-3204
US

V. Phone/Fax

Practice location:
  • Phone: 818-507-4702
  • Fax: 818-507-4425
Mailing address:
  • Phone: 818-507-4702
  • Fax: 818-507-4425

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number StateCA

VIII. Authorized Official

Name: MR. KHACHIK MANVELIAN I
Title or Position: CEO
Credential:
Phone: 818-482-1907