MEDICARE: ANA WAY TRANSPORTATION INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	343900000X	Non-emergency Medical Transport (VAN)

General Provider Information

NPI Number	:	1295175636
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ANA WAY TRANSPORTATION INC.

Provider Business Mailing Address
First Line	:	417 ARDEN AVE
Second Line	:	SUITE112D
City	:	GLENDALE
State	:	CA
Zip	:	91203-4045
Country	:	US
Telephone Number	:	818-662-0999
Fax Number	:

Provider Business Practice Location Address
First Line	:	417 ARDEN AVE
Second Line	:	SUITE112D
City	:	GLENDALE
State	:	CA
Zip	:	91203-4045
Country	:	US
Telephone Number	:	818-662-0999
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MR. HOVHANNES SHAHBAZYAN
Credential	:
Telephone Number	:	818-662-0999

Provider Enumeration Date	:	06/30/2013
Last Update Date	:	06/30/2013

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Directions to “ANA WAY TRANSPORTATION INC. ” Practice Location

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