Healthcare Provider Details

I. General information

NPI: 1225276561
Provider Name (Legal Business Name): XQUIZIT TRANSPORTATION INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/23/2009
Last Update Date: 01/23/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1844 TAFT AVE APT 1
LOS ANGELES CA
90028-5700
US

IV. Provider business mailing address

1844 TAFT AVE APT 1
LOS ANGELES CA
90028-5700
US

V. Phone/Fax

Practice location:
  • Phone: 323-806-4606
  • Fax: 323-957-2822
Mailing address:
  • Phone: 323-806-4606
  • Fax: 323-957-2822

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: MR. PETROS PANANYAN
Title or Position: CEO / PRESIDENT
Credential: B.A.
Phone: 323-806-4606