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Gagik Ignatenko
Non-emergency Medical Transport (VAN) in Glendale, California
NPI 1396323945

Gagik Ignatenko is a Non-emergency Medical Transport (VAN) based in Glendale, CA. Gagik Ignatenko practices in Glendale, CA. The NPI Number for Gagik Ignatenko is 1396323945 and holds a License No. CVOP1915290 (California).

The current practice location address for Gagik Ignatenko is 415 E Harvard St Ste 203A, Glendale, CA and can be reached out via phone at 818-818-4697.

Location: 415 E Harvard St Ste 203A, Glendale, CA, 91205-1045
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1396323945
Provider Name
Gagik Ignatenko
Credential
Provider Entity Type
Individual
Gender
Male
Address
415 E Harvard St Ste 203A, Glendale, CA, 91205-1045
Phone Number
818-818-4697
Fax Number
Provider Enumeration Date
04/01/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
415 E Harvard St Ste 203A
City
Glendale
State
California
Zip
91205-1045
Phone Number
818-818-4697
Fax Number
person
Provider Business Mailing Address Details
Address
415 E Harvard St Ste 203A
City
Glendale
State
California
Zip
91205-1045
Phone Number
818-818-4697
Fax Number
person
Provider's Taxonomy Details 1
Type
Transportation Services
Classification
Non-emergency Medical Transport (VAN)
Speciality
-
Taxonomy
343900000X
License No.
CVOP1915290 (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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