Provider Demographics
NPI:1255514527
Name:TOTAL TRANSPORT INC.
Entity type:Organization
Organization Name:TOTAL TRANSPORT INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:GOHAR
Authorized Official - Middle Name:GIGI
Authorized Official - Last Name:PAPAZIAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-763-8181
Mailing Address - Street 1:12504 MAGNOLIA BLVD
Mailing Address - Street 2:
Mailing Address - City:VALLEY VILLAGE
Mailing Address - State:CA
Mailing Address - Zip Code:91607-2306
Mailing Address - Country:US
Mailing Address - Phone:818-763-8181
Mailing Address - Fax:818-763-8181
Practice Address - Street 1:12504 MAGNOLIA BLVD
Practice Address - Street 2:
Practice Address - City:VALLEY VILLAGE
Practice Address - State:CA
Practice Address - Zip Code:91607-2306
Practice Address - Country:US
Practice Address - Phone:818-763-8181
Practice Address - Fax:818-505-6982
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-10
Last Update Date:2007-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAMTN01272FMedicaid