Provider Demographics
NPI:1053063917
Name:SWIFT MEDICAL
Entity Type:Organization
Organization Name:SWIFT MEDICAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:VARDAN
Authorized Official - Middle Name:
Authorized Official - Last Name:TSARUKYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-736-1777
Mailing Address - Street 1:8110 GRAYSTONE ST
Mailing Address - Street 2:
Mailing Address - City:SUNLAND
Mailing Address - State:CA
Mailing Address - Zip Code:91040-2110
Mailing Address - Country:US
Mailing Address - Phone:818-736-1777
Mailing Address - Fax:
Practice Address - Street 1:8110 GRAYSTONE ST
Practice Address - Street 2:
Practice Address - City:SUNLAND
Practice Address - State:CA
Practice Address - Zip Code:91040-2110
Practice Address - Country:US
Practice Address - Phone:818-736-1777
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-01-21
Last Update Date:2022-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)