Golden Age Medical Transportation
LBN: Golden Age Medical Transportation
Golden Age Medical Transportation is an health care organization with primary practice located at 11110 Red Cedar Dr , San Diego CA 92131-1310. The organization recently has only one registered license in Transportation Services / Non-emergency Medical Transport (VAN), which is considered as the primary health care specialty.
Golden Age Medical Transportation can be contacted via phone (858) 689-9770, or through Braverman, Grigory via phone (323) 333-5383.
Contact Information
Primary practice address
11110 Red Cedar Dr
San Diego CA 92131-1310
Phone: (858) 689-9770
Fax: (619) 337-1499
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Transportation Services / Non-emergency Medical Transport (VAN) | 343900000X | 643533-92 | California |
| Transportation Services / Non-emergency Medical Transport (VAN) | 343900000X | 64353392 | California |
Profile Details
| NPI number | 1649311671 |
|---|---|
| LBN Legal business name | Golden Age Medical Transportation |
| DBA Doing business as | |
| Authorized official | Braverman, Grigory |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Feb 11th, 2007 |
| Last updated | Apr 7th, 2014 - about 10 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1649311671 | NPPES |
| California | MEDICAID | MTN01191F |
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