Provider Demographics
NPI:1700212891
Name:AM/PM MEDICAL TRANSPORTATION COMPANY, INC.
Entity Type:Organization
Organization Name:AM/PM MEDICAL TRANSPORTATION COMPANY, INC.
Other - Org Name:AM/PM MEDICAL TRANSPORTATION
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:VARDUI
Authorized Official - Middle Name:ROSE
Authorized Official - Last Name:OGANESYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:559-500-8880
Mailing Address - Street 1:7005 N MILBURN AVE STE 102
Mailing Address - Street 2:
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93722-2161
Mailing Address - Country:US
Mailing Address - Phone:559-400-5716
Mailing Address - Fax:
Practice Address - Street 1:7005 N MILBURN AVE STE 102
Practice Address - Street 2:
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93722-2161
Practice Address - Country:US
Practice Address - Phone:559-400-5716
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-09-20
Last Update Date:2022-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA418718343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)