Provider Demographics
NPI:1396020434
Name:MEDTRANSSOFT, LLC
Entity Type:Organization
Organization Name:MEDTRANSSOFT, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:MARAT
Authorized Official - Middle Name:
Authorized Official - Last Name:SHEYNKMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:323-855-0723
Mailing Address - Street 1:11647 MORRISON ST
Mailing Address - Street 2:
Mailing Address - City:NORTH HOLLYWOOD
Mailing Address - State:CA
Mailing Address - Zip Code:91601-4346
Mailing Address - Country:US
Mailing Address - Phone:323-855-0723
Mailing Address - Fax:
Practice Address - Street 1:11647 MORRISON ST
Practice Address - Street 2:
Practice Address - City:NORTH HOLLYWOOD
Practice Address - State:CA
Practice Address - Zip Code:91601-4346
Practice Address - Country:US
Practice Address - Phone:323-855-0723
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-10-20
Last Update Date:2011-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343800000XTransportation ServicesSecured Medical Transport (VAN)
No341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAVBJ0202Medicare PIN