Provider Demographics
NPI:1225553142
Name:SAFETY MED TRANSPORT INC.
Entity Type:Organization
Organization Name:SAFETY MED TRANSPORT INC.
Other - Org Name:SAFETY MED TRANSPORT INC.
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ZHIRAYR
Authorized Official - Middle Name:
Authorized Official - Last Name:SIMONYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:808-900-0220
Mailing Address - Street 1:8374 TOPANGA CANYON BLVD UNIT 211
Mailing Address - Street 2:
Mailing Address - City:CANOGA PARK
Mailing Address - State:CA
Mailing Address - Zip Code:91304-2371
Mailing Address - Country:US
Mailing Address - Phone:818-280-6624
Mailing Address - Fax:818-280-6624
Practice Address - Street 1:8374 TOPANGA CANYON BLVD UNIT 211
Practice Address - Street 2:
Practice Address - City:CANOGA PARK
Practice Address - State:CA
Practice Address - Zip Code:91304
Practice Address - Country:US
Practice Address - Phone:818-280-6624
Practice Address - Fax:818-280-6624
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-08-11
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)