Provider Demographics
NPI:1891008637
Name:DON GRDON INC
Entity Type:Organization
Organization Name:DON GRDON INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:SVETLANA
Authorized Official - Middle Name:
Authorized Official - Last Name:NADZHARYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-893-2100
Mailing Address - Street 1:8774 SEPULVEDA BLVD
Mailing Address - Street 2:SUITE 2
Mailing Address - City:NORTH HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91343-5158
Mailing Address - Country:US
Mailing Address - Phone:818-893-2100
Mailing Address - Fax:818-893-2115
Practice Address - Street 1:8774 SEPULVEDA BLVD
Practice Address - Street 2:SUITE 2
Practice Address - City:NORTH HILLS
Practice Address - State:CA
Practice Address - Zip Code:91343-5158
Practice Address - Country:US
Practice Address - Phone:818-893-2100
Practice Address - Fax:818-893-2115
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-07-21
Last Update Date:2010-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA20293416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport