Provider Demographics
NPI:1699374173
Name:OPTIMUM NEMT INC.
Entity Type:Organization
Organization Name:OPTIMUM NEMT INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/DIRECTOR OF OPERATIONS
Authorized Official - Prefix:
Authorized Official - First Name:GULNARA
Authorized Official - Middle Name:
Authorized Official - Last Name:MURADYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:661-886-4496
Mailing Address - Street 1:1722 MARION AVE
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:CA
Mailing Address - Zip Code:93535-2928
Mailing Address - Country:US
Mailing Address - Phone:661-886-4496
Mailing Address - Fax:661-241-9427
Practice Address - Street 1:44349 LOWTREE AVE
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:CA
Practice Address - Zip Code:93534-4100
Practice Address - Country:US
Practice Address - Phone:661-886-4496
Practice Address - Fax:661-241-9427
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-10-25
Last Update Date:2020-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)