Healthcare Provider Details

I. General information

NPI: 1841127719
Provider Name (Legal Business Name): EXCLUSIVE CARE NON-EMERGENCY MEDICAL TRANSPORTATION LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/06/2026
Last Update Date: 05/06/2026
Certification Date: 05/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

313 W CALIFORNIA AVE APT 404
GLENDALE CA
91203-3195
US

IV. Provider business mailing address

313 W CALIFORNIA AVE APT 404
GLENDALE CA
91203-3195
US

V. Phone/Fax

Practice location:
  • Phone: 818-272-0742
  • Fax:
Mailing address:
  • Phone:
  • Fax:

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: RUBEN PETROSYAN
Title or Position: CEO
Credential:
Phone: 747-888-8846