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NPI Code Detail

MEDICARE: HEALTHY MEDICAL TRASPORTATION

MEDICARE: HEALTHY MEDICAL TRASPORTATION
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)

Other Identifiers

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

General Provider Information

NPI Number : 1871780593
Entity Type Code : Organization
Provider Name (Legal Business Name) : HEALTHY MEDICAL TRASPORTATION
Provider Business Mailing Address
First Line : 5369 MEDINA RD
Second Line :
City : WOODLAND HILLS
State : CA
Zip : 91364-1916
Country : US
Telephone Number : 818-242-8420
Fax Number :
Provider Business Practice Location Address
First Line : 1123 S CENTRAL AVE
Second Line :
City : GLENDALE
State : CA
Zip : 91204-2212
Country : US
Telephone Number : 818-242-8420
Fax Number :
Authorized Official
Title or Position : OWNER
Name : KAMAL ALI WAHEB
Credential :
Telephone Number : 818-242-8420
Provider Enumeration Date : 09/26/2007
Last Update Date : 09/26/2007

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Directions to “HEALTHY MEDICAL TRASPORTATION ” Practice Location

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