Provider Demographics
NPI:1518680628
Name:INFINITE TRANSICARE LLC
Entity Type:Organization
Organization Name:INFINITE TRANSICARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER/OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:
Authorized Official - Last Name:BEHROOZI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-918-8704
Mailing Address - Street 1:6200 DE SOTO AVE APT 36216
Mailing Address - Street 2:
Mailing Address - City:WOODLAND HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91367-0209
Mailing Address - Country:US
Mailing Address - Phone:818-918-8704
Mailing Address - Fax:
Practice Address - Street 1:6200 DE SOTO AVE APT 36216
Practice Address - Street 2:
Practice Address - City:WOODLAND HILLS
Practice Address - State:CA
Practice Address - Zip Code:91367-0209
Practice Address - Country:US
Practice Address - Phone:818-918-8704
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-09-22
Last Update Date:2022-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)