MEDICARE: ARAMAIS ARMEN SARKISYAN

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	:	1336363415
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ARAMAIS ARMEN SARKISYAN

Provider Business Mailing Address
First Line	:	815 S CENTRAL AVE
Second Line	:	#9
City	:	GLENDALE
State	:	CA
Zip	:	91204-2046
Country	:	US
Telephone Number	:	818-288-5490
Fax Number	:	818-500-7512

Provider Business Practice Location Address
First Line	:	815 S CENTRAL AVE
Second Line	:	#9
City	:	GLENDALE
State	:	CA
Zip	:	91204-2046
Country	:	US
Telephone Number	:	818-288-5490
Fax Number	:	818-500-7512

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/12/2007
Last Update Date	:	07/08/2007

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