Provider Demographics
NPI:1437728573
Name:AAG CONCEPTS
Entity Type:Organization
Organization Name:AAG CONCEPTS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:YURIY
Authorized Official - Middle Name:
Authorized Official - Last Name:GARAYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-624-7802
Mailing Address - Street 1:310 E PROVIDENCIA AVE APT 105
Mailing Address - Street 2:
Mailing Address - City:BURBANK
Mailing Address - State:CA
Mailing Address - Zip Code:91502-2756
Mailing Address - Country:US
Mailing Address - Phone:818-624-7802
Mailing Address - Fax:
Practice Address - Street 1:310 E PROVIDENCIA AVE APT 105
Practice Address - Street 2:
Practice Address - City:BURBANK
Practice Address - State:CA
Practice Address - Zip Code:91502-2756
Practice Address - Country:US
Practice Address - Phone:818-624-7802
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-06-23
Last Update Date:2021-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)