MEDICARE: A & R MEDICAL TRANSPORTATION

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)

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1629112065
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	A & R MEDICAL TRANSPORTATION

Provider Business Mailing Address
First Line	:	5300 SANTA MONICA BLVD
Second Line	:	SUITE # 216
City	:	LOS ANGELES
State	:	CA
Zip	:	90029-1131
Country	:	US
Telephone Number	:	323-960-1122
Fax Number	:	323-960-1155

Provider Business Practice Location Address
First Line	:	5300 SANTA MONICA BLVD
Second Line	:	SUITE #216
City	:	LOS ANGELES
State	:	CA
Zip	:	90029-1131
Country	:	US
Telephone Number	:	323-960-1122
Fax Number	:	323-960-1155

Authorized Official
Title or Position	:	OWNER
Name	:	RAFIK AGHAJANYAN
Credential	:
Telephone Number	:	323-960-1122

Provider Enumeration Date	:	02/19/2007
Last Update Date	:	06/13/2008

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Directions to “A & R MEDICAL TRANSPORTATION ” Practice Location

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