MEDICARE: COMFORT CARE NON-EMERGENCY 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)		CA

General Provider Information

NPI Number	:	1558665034
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COMFORT CARE NON-EMERGENCY TRANSPORTATION, INC.

Provider Business Mailing Address
First Line	:	3300 BEAUDRY TER
Second Line	:
City	:	GLENDALE
State	:	CA
Zip	:	91208-1749
Country	:	US
Telephone Number	:	818-268-9188
Fax Number	:

Provider Business Practice Location Address
First Line	:	3300 BEAUDRY TER
Second Line	:
City	:	GLENDALE
State	:	CA
Zip	:	91208-1749
Country	:	US
Telephone Number	:	818-268-9188
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	NORAIR ADJAMIAN
Credential	:
Telephone Number	:	818-445-7209

Provider Enumeration Date	:	12/27/2010
Last Update Date	:	12/27/2010

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