Healthcare Provider Details

I. General information

NPI: 1366366064
Provider Name (Legal Business Name): FLINTRIDGE MEDICAL TRANSPORTATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/05/2026
Last Update Date: 08/05/2026
Certification Date: 08/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3134 PONTIAC ST
LA CRESCENTA CA
91214-2655
US

IV. Provider business mailing address

3134 PONTIAC ST
LA CRESCENTA CA
91214-2655
US

V. Phone/Fax

Practice location:
  • Phone: 818-445-8523
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code172A00000X
TaxonomyDriver
License Number
License Number State

VIII. Authorized Official

Name: HOVIK HOVHANNISYAN
Title or Position: CFO
Credential:
Phone: 818-445-8523