MEDICARE: GOODHEALTHKARE

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	:	1811341894
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GOODHEALTHKARE

Provider Business Mailing Address
First Line	:	6118 MATILIJA AVE
Second Line	:
City	:	VAN NUYS
State	:	CA
Zip	:	91401-2920
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	6118 MATILIJA AVE
Second Line	:
City	:	VAN NUYS
State	:	CA
Zip	:	91401-2920
Country	:	US
Telephone Number	:	818-203-8150
Fax Number	:

Authorized Official
Title or Position	:	MANAGER/PARTNER
Name	:	HOVANES KESHISHYAN
Credential	:
Telephone Number	:	818-203-8150

Provider Enumeration Date	:	04/15/2016
Last Update Date	:	04/15/2016

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Directions to “GOODHEALTHKARE ” Practice Location

Language	Start Address	Practice Location

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