Provider Demographics
NPI:1376935312
Name:BOYAJYAN, ARTUR
Entity type:Individual
Prefix:
First Name:ARTUR
Middle Name:
Last Name:BOYAJYAN
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2166 E SOLAR AVE
Mailing Address - Street 2:
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93720-4607
Mailing Address - Country:US
Mailing Address - Phone:818-588-5130
Mailing Address - Fax:559-276-3226
Practice Address - Street 1:2121 E MCKINLEY AVE
Practice Address - Street 2:
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93703-3002
Practice Address - Country:US
Practice Address - Phone:818-588-5130
Practice Address - Fax:559-276-3226
Is Sole Proprietor?:Yes
Enumeration Date:2015-02-27
Last Update Date:2015-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)