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NPI Code Detail

MEDICARE: FAITH SHIELD MEDICAL TRANSPORT LLC

MEDICARE: FAITH SHIELD MEDICAL TRANSPORT LLC
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 : 1700749546
Entity Type Code : Organization
Provider Name (Legal Business Name) : FAITH SHIELD MEDICAL TRANSPORT LLC
Provider Business Mailing Address
First Line : 9551 GLADBECK AVE
Second Line :
City : NORTHRIDGE
State : CA
Zip : 91324-2221
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 9551 GLADBECK AVE
Second Line :
City : NORTHRIDGE
State : CA
Zip : 91324-2221
Country : US
Telephone Number : 747-745-7745
Fax Number :
Authorized Official
Title or Position : MANAGING MEMBER
Name : KARO KADIYAN
Credential :
Telephone Number : 747-745-7745
Provider Enumeration Date : 12/08/2025
Last Update Date : 12/08/2025

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Directions to “FAITH SHIELD MEDICAL TRANSPORT LLC ” Practice Location

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