Healthcare Provider Details

I. General information

NPI: 1629112065
Provider Name (Legal Business Name): A & R MEDICAL TRANSPORTATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/19/2007
Last Update Date: 06/13/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5300 SANTA MONICA BLVD SUITE #216
LOS ANGELES CA
90029-1131
US

IV. Provider business mailing address

5300 SANTA MONICA BLVD SUITE # 216
LOS ANGELES CA
90029-1131
US

V. Phone/Fax

Practice location:
  • Phone: 323-960-1122
  • Fax: 323-960-1155
Mailing address:
  • Phone: 323-960-1122
  • Fax: 323-960-1155

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: RAFIK AGHAJANYAN
Title or Position: OWNER
Credential:
Phone: 323-960-1122