MEDICARE: CRUZELA INC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	343900000X	Non-emergency Medical Transport (VAN)
2	344600000X	Taxi
3	347C00000X	Private Vehicle
4	347E00000X	Transportation Broker
5	342000000X	Transportation Network Company

General Provider Information

NPI Number	:	1407724057
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CRUZELA INC

Provider Business Mailing Address
First Line	:	304 E ELMWOOD AVE APT F
Second Line	:
City	:	BURBANK
State	:	CA
Zip	:	91502-1586
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	304 E ELMWOOD AVE APT F
Second Line	:
City	:	BURBANK
State	:	CA
Zip	:	91502-1586
Country	:	US
Telephone Number	:	689-999-0777
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	GIORGI CHUTKARASHVILI
Credential	:
Telephone Number	:	689-999-0777

Provider Enumeration Date	:	10/27/2025
Last Update Date	:	11/05/2025

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Directions to “CRUZELA INC ” Practice Location

Language	Start Address	Practice Location

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