Provider Demographics
NPI:1730639097
Name:F & B MEDICAL TRANSPORT, INC
Entity Type:Organization
Organization Name:F & B MEDICAL TRANSPORT, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:RAZMIK
Authorized Official - Middle Name:
Authorized Official - Last Name:GRIGORYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-787-9119
Mailing Address - Street 1:11751 SLAUSON AVE
Mailing Address - Street 2:#10
Mailing Address - City:SANTA FE SPRINGS
Mailing Address - State:CA
Mailing Address - Zip Code:90670-0670
Mailing Address - Country:US
Mailing Address - Phone:818-787-9119
Mailing Address - Fax:818-787-4999
Practice Address - Street 1:11751 SLAUSON AVE
Practice Address - Street 2:#10
Practice Address - City:SANTA FE SPRINGS
Practice Address - State:CA
Practice Address - Zip Code:90670-0670
Practice Address - Country:US
Practice Address - Phone:818-787-9119
Practice Address - Fax:818-787-4999
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-10-11
Last Update Date:2019-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)