Provider Demographics
NPI:1437812302
Name:VIVA MEDCARE TRANS INC
Entity Type:Organization
Organization Name:VIVA MEDCARE TRANS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ARMEN
Authorized Official - Middle Name:
Authorized Official - Last Name:PETROSIAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-581-1118
Mailing Address - Street 1:15303 VENTURA BLVD STE 918
Mailing Address - Street 2:
Mailing Address - City:SHERMAN OAKS
Mailing Address - State:CA
Mailing Address - Zip Code:91403-3110
Mailing Address - Country:US
Mailing Address - Phone:818-385-1295
Mailing Address - Fax:
Practice Address - Street 1:15303 VENTURA BLVD STE 918
Practice Address - Street 2:
Practice Address - City:SHERMAN OAKS
Practice Address - State:CA
Practice Address - Zip Code:91403-3110
Practice Address - Country:US
Practice Address - Phone:818-385-1295
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-10-18
Last Update Date:2021-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)