Provider Demographics
NPI:1548430564
Name:AGAT CORPORATION
Entity Type:Organization
Organization Name:AGAT CORPORATION
Other - Org Name:AAA MEDICALTRANSPORTATION
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARINA
Authorized Official - Middle Name:
Authorized Official - Last Name:TOROSYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:408-218-0743
Mailing Address - Street 1:860 S WINCHESTER BLVD STE E
Mailing Address - Street 2:
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95128-2962
Mailing Address - Country:US
Mailing Address - Phone:408-218-0743
Mailing Address - Fax:408-879-9119
Practice Address - Street 1:860 S WINCHESTER BLVD STE E
Practice Address - Street 2:
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95128-2962
Practice Address - Country:US
Practice Address - Phone:408-218-0743
Practice Address - Fax:408-879-9119
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-05
Last Update Date:2010-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA231314343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)