Provider Demographics
NPI:1396336772
Name:AS TRANSPORTATION SERVICES LLC
Entity type:Organization
Organization Name:AS TRANSPORTATION SERVICES LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:SEVADA
Authorized Official - Middle Name:
Authorized Official - Last Name:ANTONYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-433-8834
Mailing Address - Street 1:1154 NORTON AVE
Mailing Address - Street 2:
Mailing Address - City:GLENDALE
Mailing Address - State:CA
Mailing Address - Zip Code:91202
Mailing Address - Country:US
Mailing Address - Phone:818-433-8834
Mailing Address - Fax:
Practice Address - Street 1:1731 W GLENOAKS BLVD
Practice Address - Street 2:
Practice Address - City:GLENDALE
Practice Address - State:CA
Practice Address - Zip Code:91201-1599
Practice Address - Country:US
Practice Address - Phone:818-433-8834
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-01-28
Last Update Date:2021-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)