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NPI Code Detail

MEDICARE: RED-EX NON EMERGENCY MEDICAL TRANSPORT INC

MEDICARE: RED-EX NON EMERGENCY MEDICAL TRANSPORT 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
1343900000XNon-emergency Medical Transport (VAN)

General Provider Information

NPI Number : 1376367748
Entity Type Code : Organization
Provider Name (Legal Business Name) : RED-EX NON EMERGENCY MEDICAL TRANSPORT INC
Provider Business Mailing Address
First Line : 12218 SARAZEN PL
Second Line :
City : GRANADA HILLS
State : CA
Zip : 91344-2635
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 12218 SARAZEN PL
Second Line :
City : GRANADA HILLS
State : CA
Zip : 91344-2635
Country : US
Telephone Number : 747-900-3617
Fax Number :
Authorized Official
Title or Position : OWNER
Name : ELENI MAKARYAN
Credential :
Telephone Number : 747-900-3617
Provider Enumeration Date : 11/13/2024
Last Update Date : 11/13/2024

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Directions to “RED-EX NON EMERGENCY MEDICAL TRANSPORT INC ” Practice Location

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