Provider Demographics
NPI:1770829285
Name:SAFE MED TRANSPORTATION
Entity Type:Organization
Organization Name:SAFE MED TRANSPORTATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:RUBEN
Authorized Official - Middle Name:
Authorized Official - Last Name:RUBENYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-667-5156
Mailing Address - Street 1:7462 RADFORD AVE # 5
Mailing Address - Street 2:
Mailing Address - City:NORTH HOLLYWOOD
Mailing Address - State:CA
Mailing Address - Zip Code:91605-3158
Mailing Address - Country:US
Mailing Address - Phone:818-667-5156
Mailing Address - Fax:
Practice Address - Street 1:7462 RADFORD AVE # 5
Practice Address - Street 2:
Practice Address - City:NORTH HOLLYWOOD
Practice Address - State:CA
Practice Address - Zip Code:91605-3158
Practice Address - Country:US
Practice Address - Phone:818-667-5156
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-01-02
Last Update Date:2013-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAD8023592343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)