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Stepan Khechumyan
Non-emergency Medical Transport (VAN) in Glendale, California
NPI 1174667679

Stepan Khechumyan is a Non-emergency Medical Transport (VAN) based in Glendale, CA. Stepan Khechumyan practices in Glendale, CA. The NPI Number for Stepan Khechumyan is 1174667679 and holds a License No. MTN01040F (California).

The current practice location address for Stepan Khechumyan is 903 E Acacia Ave, Glendale, CA and can be reached out via phone at 818-623-0992 and via fax at 818-755-0733.

Location: 903 E Acacia Ave, Glendale, CA, 91205-4837
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1174667679
Provider Name
Stepan Khechumyan
Credential
Provider Entity Type
Individual
Gender
Male
Address
903 E Acacia Ave, Glendale, CA, 91205-4837
Phone Number
818-623-0992
Fax Number
818-755-0733
Provider Enumeration Date
02/16/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
MTN01040F 05 CA
institution
Provider Business Practice Location Address Details
Address
903 E Acacia Ave
City
Glendale
State
California
Zip
91205-4837
Phone Number
818-623-0992
Fax Number
818-755-0733
person
Provider Business Mailing Address Details
Address
903 E Acacia Ave
City
Glendale
State
California
Zip
91205-4837
Phone Number
818-623-0992
Fax Number
818-755-0733
person
Provider's Taxonomy Details 1
Type
Transportation Services
Classification
Non-emergency Medical Transport (VAN)
Speciality
-
Taxonomy
343900000X
License No.
MTN01040F (California)
Definition
A land vehicle with a capacity to meet special height, clearance, access, and seating, for the conveyance of persons in non-emergency situations. The vehicle may or may not be required to meet local county or state regulations.
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