Provider Demographics
NPI:1073933446
Name:AV SHUTTLE & TOURS, LLC.
Entity Type:Organization
Organization Name:AV SHUTTLE & TOURS, LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF OPERATIONS
Authorized Official - Prefix:MR
Authorized Official - First Name:ARTZRUN
Authorized Official - Middle Name:
Authorized Official - Last Name:MINASYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:661-951-5626
Mailing Address - Street 1:45326 TREVOR AVE
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:CA
Mailing Address - Zip Code:93534-1600
Mailing Address - Country:US
Mailing Address - Phone:661-951-5626
Mailing Address - Fax:661-951-7044
Practice Address - Street 1:45326 TREVOR AVE
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:CA
Practice Address - Zip Code:93534-1600
Practice Address - Country:US
Practice Address - Phone:661-951-5626
Practice Address - Fax:661-951-7044
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-04-23
Last Update Date:2014-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)