Provider Demographics
NPI: | 1285248757 |
---|---|
Name: | VAFA MEDICAL TRANSPORTATIONS |
Entity type: | Organization |
Organization Name: | VAFA MEDICAL TRANSPORTATIONS |
Other - Org Name: | |
Other - Org Type: | |
Authorized Official - Title/Position: | CEO |
Authorized Official - Prefix: | MR |
Authorized Official - First Name: | ARASH |
Authorized Official - Middle Name: | |
Authorized Official - Last Name: | VAFAKHAH |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | |
Authorized Official - Phone: | 310-218-6152 |
Mailing Address - Street 1: | 7048 OWENSMOUTH AVE |
Mailing Address - Street 2: | |
Mailing Address - City: | CANOGA PARK |
Mailing Address - State: | CA |
Mailing Address - Zip Code: | 91303-2005 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 818-813-8013 |
Mailing Address - Fax: | 818-698-0418 |
Practice Address - Street 1: | 7048 OWENSMOUTH AVE |
Practice Address - Street 2: | |
Practice Address - City: | CANOGA PARK |
Practice Address - State: | CA |
Practice Address - Zip Code: | 91303-2005 |
Practice Address - Country: | US |
Practice Address - Phone: | 818-813-8013 |
Practice Address - Fax: | 818-698-0418 |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2020-09-02 |
Last Update Date: | 2024-07-11 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization |
---|---|---|---|---|
Yes | 343900000X | Transportation Services | Non-emergency Medical Transport (VAN) | |
No | 343800000X | Transportation Services | Secured Medical Transport (VAN) |