Provider Demographics
NPI:1902938632
Name:HB MEDICAL TRANSPORTATION
Entity Type:Organization
Organization Name:HB MEDICAL TRANSPORTATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:ARTUR
Authorized Official - Middle Name:
Authorized Official - Last Name:BOYAJYAN
Authorized Official - Suffix:SR
Authorized Official - Credentials:
Authorized Official - Phone:559-917-1756
Mailing Address - Street 1:5761 N KATY LN
Mailing Address - Street 2:
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93722-7720
Mailing Address - Country:US
Mailing Address - Phone:559-917-1756
Mailing Address - Fax:559-276-8376
Practice Address - Street 1:5761 N KATY LN
Practice Address - Street 2:
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93722-7720
Practice Address - Country:US
Practice Address - Phone:559-917-1756
Practice Address - Fax:559-276-8376
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-09
Last Update Date:2009-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMTN01123F343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAMTN01123FMedicaid