Provider Demographics
NPI:1548814858
Name:STAR NON-EMERGENCY MEDICAL TRANSPORTATION, INC
Entity type:Organization
Organization Name:STAR NON-EMERGENCY MEDICAL TRANSPORTATION, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:LUSINE
Authorized Official - Middle Name:
Authorized Official - Last Name:SAHAKYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-400-8092
Mailing Address - Street 1:7020 LENNOX AVE APT 7
Mailing Address - Street 2:
Mailing Address - City:VAN NUYS
Mailing Address - State:CA
Mailing Address - Zip Code:91405-3181
Mailing Address - Country:US
Mailing Address - Phone:818-400-8092
Mailing Address - Fax:818-290-3851
Practice Address - Street 1:7959 CROSNOE AVE
Practice Address - Street 2:
Practice Address - City:PANORAMA CITY
Practice Address - State:CA
Practice Address - Zip Code:91402-6417
Practice Address - Country:US
Practice Address - Phone:818-400-8092
Practice Address - Fax:818-290-3851
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-07-25
Last Update Date:2019-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)