MEDICARE: GOLDEN ANGEL MEDICAL 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)

General Provider Information

NPI Number	:	1720926611
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GOLDEN ANGEL MEDICAL TRANSPORTATION INC

Provider Business Mailing Address
First Line	:	3233 CASA DE CAMPO APT 2
Second Line	:
City	:	SAN MATEO
State	:	CA
Zip	:	94403-3028
Country	:	US
Telephone Number	:	650-619-0865
Fax Number	:

Provider Business Practice Location Address
First Line	:	3233 CASA DE CAMPO APT 2
Second Line	:
City	:	SAN MATEO
State	:	CA
Zip	:	94403-3028
Country	:	US
Telephone Number	:	650-619-0865
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MAJD MAZAHREH
Credential	:
Telephone Number	:	650-619-0865

Provider Enumeration Date	:	03/23/2026
Last Update Date	:	03/23/2026

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