Provider Demographics
NPI:1265724215
Name:ALL TOWN TRANSPORT INC
Entity type:Organization
Organization Name:ALL TOWN TRANSPORT INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:ARAM
Authorized Official - Middle Name:
Authorized Official - Last Name:GRIGORYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-787-4949
Mailing Address - Street 1:6727 ODESSA AVE UNIT 200
Mailing Address - Street 2:
Mailing Address - City:VAN NUYS
Mailing Address - State:CA
Mailing Address - Zip Code:91406-5747
Mailing Address - Country:US
Mailing Address - Phone:818-787-4949
Mailing Address - Fax:818-787-4999
Practice Address - Street 1:6727 ODESSA AVE UNIT 200
Practice Address - Street 2:
Practice Address - City:VAN NUYS
Practice Address - State:CA
Practice Address - Zip Code:91406-5747
Practice Address - Country:US
Practice Address - Phone:818-787-4949
Practice Address - Fax:818-787-4999
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-05-10
Last Update Date:2023-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMTN01222F343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAMTN01222FMedicaid