Provider Demographics
NPI:1548571979
Name:AMSOM TRAVEL AND TRANSLATION SERVICES
Entity Type:Organization
Organization Name:AMSOM TRAVEL AND TRANSLATION SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:HORIA
Authorized Official - Middle Name:HAGI
Authorized Official - Last Name:DAHIR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:602-824-9349
Mailing Address - Street 1:769 E GAIL DR
Mailing Address - Street 2:
Mailing Address - City:CHANDLER
Mailing Address - State:AZ
Mailing Address - Zip Code:85225-1717
Mailing Address - Country:US
Mailing Address - Phone:480-584-8669
Mailing Address - Fax:
Practice Address - Street 1:4040 E MCDOWELL RD STE 106
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85008-4428
Practice Address - Country:US
Practice Address - Phone:602-824-9349
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-06-30
Last Update Date:2010-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ467359343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)