MEDICARE: MTI TRANSIT, 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
1	341600000X	Ambulance

General Provider Information

NPI Number	:	1922701432
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MTI TRANSIT, LLC

Provider Business Mailing Address
First Line	:	7315 ETHEL AVE
Second Line	:
City	:	NORTH HOLLYWOOD
State	:	CA
Zip	:	91605-4217
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	7315 ETHEL AVE
Second Line	:
City	:	NORTH HOLLYWOOD
State	:	CA
Zip	:	91605-4217
Country	:	US
Telephone Number	:	818-579-4121
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MARIAM YERKANYAN
Credential	:
Telephone Number	:	818-579-4121

Provider Enumeration Date	:	03/23/2023
Last Update Date	:	01/29/2025

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