Provider Demographics
NPI:1366760951
Name:SEDA CARE INC
Entity type:Organization
Organization Name:SEDA CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ALEXANDER
Authorized Official - Middle Name:
Authorized Official - Last Name:SEMIBRATOV
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-705-3005
Mailing Address - Street 1:6117 RESEDA BLVD
Mailing Address - Street 2:SUITE 207
Mailing Address - City:TARZANA
Mailing Address - State:CA
Mailing Address - Zip Code:91335-7359
Mailing Address - Country:US
Mailing Address - Phone:818-705-3005
Mailing Address - Fax:818-705-3006
Practice Address - Street 1:6117 RESEDA BLVD
Practice Address - Street 2:SUITE 207
Practice Address - City:TARZANA
Practice Address - State:CA
Practice Address - Zip Code:91335-7359
Practice Address - Country:US
Practice Address - Phone:818-705-3005
Practice Address - Fax:818-705-3006
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-05-06
Last Update Date:2010-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA20183416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport