MEDICARE: WESTSTAR MOBILITY

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	:	1518757723
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WESTSTAR MOBILITY

Provider Business Mailing Address
First Line	:	15335 MORRISON ST STE 300-3012
Second Line	:
City	:	SHERMAN OAKS
State	:	CA
Zip	:	91403-1513
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	15335 MORRISON ST STE 300-3012
Second Line	:
City	:	SHERMAN OAKS
State	:	CA
Zip	:	91403-1513
Country	:	US
Telephone Number	:	818-815-7555
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	CREESTINA MGRTICHIAN
Credential	:
Telephone Number	:	818-815-7555

Provider Enumeration Date	:	05/09/2025
Last Update Date	:	05/09/2025

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Directions to “WESTSTAR MOBILITY ” Practice Location

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