Healthcare Provider Details

I. General information

NPI: 1588100846
Provider Name (Legal Business Name): M TRANS, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/11/2017
Last Update Date: 05/21/2026
Certification Date: 05/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16933 PARTHENIA ST STE 111
NORTHRIDGE CA
91343-4570
US

IV. Provider business mailing address

16933 PARTHENIA ST STE 111
NORTHRIDGE CA
91343-4570
US

V. Phone/Fax

Practice location:
  • Phone: 323-250-1111
  • Fax:
Mailing address:
  • Phone: 323-250-1111
  • 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: MIRIAN G VARTAPETYAN
Title or Position: PRESIDENT
Credential:
Phone: 323-250-1111