MEDICARE: ARKA LIMO 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	347C00000X	Private Vehicle	32561-P	CA

General Provider Information

NPI Number	:	1982010161
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ARKA LIMO LLC

Provider Business Mailing Address
First Line	:	1003 E CHEVY CHASE DR
Second Line	:
City	:	GLENDALE
State	:	CA
Zip	:	91205-3001
Country	:	US
Telephone Number	:	818-642-4232
Fax Number	:

Provider Business Practice Location Address
First Line	:	1003 E CHEVY CHASE DR
Second Line	:
City	:	GLENDALE
State	:	CA
Zip	:	91205-3001
Country	:	US
Telephone Number	:	818-642-4232
Fax Number	:

Authorized Official
Title or Position	:	MANAGER
Name	:	KAREN MELKONYAN
Credential	:
Telephone Number	:	818-642-4232

Provider Enumeration Date	:	07/08/2014
Last Update Date	:	07/08/2014

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