Provider Demographics
NPI:1285156109
Name:ANGELS TRANS, INC
Entity type:Organization
Organization Name:ANGELS TRANS, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:NAZARET
Authorized Official - Middle Name:
Authorized Official - Last Name:SIMITYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:310-497-0701
Mailing Address - Street 1:1201 S. VICTORY BLVD
Mailing Address - Street 2:UNIT 200
Mailing Address - City:BURBANK
Mailing Address - State:CA
Mailing Address - Zip Code:91502-2552
Mailing Address - Country:US
Mailing Address - Phone:310-497-0701
Mailing Address - Fax:
Practice Address - Street 1:1201 S. VICTORY BLVD
Practice Address - Street 2:UNIT 200
Practice Address - City:BURBANK
Practice Address - State:CA
Practice Address - Zip Code:91502-2552
Practice Address - Country:US
Practice Address - Phone:310-497-0701
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-07-12
Last Update Date:2018-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)