Provider Demographics
NPI:1275839144
Name:AMERICAN LOGISTICS MANAGEMENT
Entity Type:Organization
Organization Name:AMERICAN LOGISTICS MANAGEMENT
Other - Org Name:FOUR SEASON TRANSPORTATION
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:SONA
Authorized Official - Middle Name:
Authorized Official - Last Name:KARAGEZYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:323-595-9595
Mailing Address - Street 1:600 W STOCKER ST
Mailing Address - Street 2:211
Mailing Address - City:GLENDALE
Mailing Address - State:CA
Mailing Address - Zip Code:91202-2266
Mailing Address - Country:US
Mailing Address - Phone:323-595-9595
Mailing Address - Fax:
Practice Address - Street 1:16014 GREYROCK ST
Practice Address - Street 2:
Practice Address - City:VICTORVILLE
Practice Address - State:CA
Practice Address - Zip Code:92395-8628
Practice Address - Country:US
Practice Address - Phone:760-534-0808
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-02-09
Last Update Date:2011-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CABSL10-01148343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)