Provider Demographics
NPI:1679657472
Name:COMFORT MED TRANS INC.
Entity Type:Organization
Organization Name:COMFORT MED TRANS INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:ALBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:KAZARYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:559-227-6862
Mailing Address - Street 1:4272 N SELLAND AVE
Mailing Address - Street 2:
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93722-7802
Mailing Address - Country:US
Mailing Address - Phone:559-227-6862
Mailing Address - Fax:559-227-6887
Practice Address - Street 1:4272 N SELLAND AVE
Practice Address - Street 2:
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93722-7802
Practice Address - Country:US
Practice Address - Phone:559-227-6862
Practice Address - Fax:559-227-6887
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-25
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMTN00868F343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAMTN00868FMedicaid