Provider Demographics
NPI:1285846287
Name:UNITED PARATRANSIT
Entity Type:Organization
Organization Name:UNITED PARATRANSIT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:SPOURIK
Authorized Official - Middle Name:
Authorized Official - Last Name:ZOURABIAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:213-623-4692
Mailing Address - Street 1:728 S HILL ST
Mailing Address - Street 2:STE 100
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90014
Mailing Address - Country:US
Mailing Address - Phone:213-623-4692
Mailing Address - Fax:
Practice Address - Street 1:728 S HILL ST
Practice Address - Street 2:STE 100
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90014
Practice Address - Country:US
Practice Address - Phone:213-623-4692
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-04
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAMTN01218FMedicaid
CAMTN01218FMedicaid