Healthcare Provider Details

I. General information

NPI: 1508657586
Provider Name (Legal Business Name): RELIABLETRANISTLA INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/16/2025
Last Update Date: 05/16/2025
Certification Date: 05/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

17050 CHATSWORTH ST STE 257
GRANADA HILLS CA
91344-5878
US

IV. Provider business mailing address

11715 SHOSHONE AVE
GRANADA HILLS CA
91344-2224
US

V. Phone/Fax

Practice location:
  • Phone: 818-674-9675
  • Fax:
Mailing address:
  • Phone: 818-674-9675
  • 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: YURIY ADAMYAN
Title or Position: OWNER
Credential:
Phone: 818-674-9675