Provider Demographics
NPI:1730458365
Name:EZ RIDE NON EMERGENCY MEDICAL TRANSPORTATION
Entity Type:Organization
Organization Name:EZ RIDE NON EMERGENCY MEDICAL TRANSPORTATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:VARTOOHI
Authorized Official - Middle Name:
Authorized Official - Last Name:KOKANIAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-823-1441
Mailing Address - Street 1:8123 NAGLE AVE
Mailing Address - Street 2:
Mailing Address - City:NORTH HOLLYWOOD
Mailing Address - State:CA
Mailing Address - Zip Code:91605-1712
Mailing Address - Country:US
Mailing Address - Phone:818-823-1441
Mailing Address - Fax:818-989-7120
Practice Address - Street 1:8123 NAGLE AVE
Practice Address - Street 2:
Practice Address - City:NORTH HOLLYWOOD
Practice Address - State:CA
Practice Address - Zip Code:91605-1712
Practice Address - Country:US
Practice Address - Phone:818-823-1441
Practice Address - Fax:818-989-7120
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-12-28
Last Update Date:2011-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)