Provider Demographics
NPI:1497176192
Name:NN TRANSPORTATION
Entity Type:Organization
Organization Name:NN TRANSPORTATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ANDRANIK
Authorized Official - Middle Name:ANDY
Authorized Official - Last Name:DZHRDZHYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:323-804-1674
Mailing Address - Street 1:13132 HARTLAND ST
Mailing Address - Street 2:
Mailing Address - City:NORTH HOLLYWOOD
Mailing Address - State:CA
Mailing Address - Zip Code:91605-4739
Mailing Address - Country:US
Mailing Address - Phone:323-804-1674
Mailing Address - Fax:818-243-3430
Practice Address - Street 1:13132 HARTLAND ST
Practice Address - Street 2:
Practice Address - City:NORTH HOLLYWOOD
Practice Address - State:CA
Practice Address - Zip Code:91605-4739
Practice Address - Country:US
Practice Address - Phone:323-804-1674
Practice Address - Fax:818-243-3430
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-12-23
Last Update Date:2013-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)