Provider Demographics
NPI:1962760892
Name:CARE LINE TRANSPORTATION
Entity type:Organization
Organization Name:CARE LINE TRANSPORTATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:SEVAK
Authorized Official - Middle Name:
Authorized Official - Last Name:ALLAHVERDIAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-731-8481
Mailing Address - Street 1:456 W.STOCKER ST .STE # C
Mailing Address - Street 2:
Mailing Address - City:GLENDALE
Mailing Address - State:CA
Mailing Address - Zip Code:91202-2102
Mailing Address - Country:US
Mailing Address - Phone:818-245-6466
Mailing Address - Fax:818-245-6467
Practice Address - Street 1:456 W STOCKER ST STE C
Practice Address - Street 2:
Practice Address - City:GLENDALE
Practice Address - State:CA
Practice Address - Zip Code:91202-3257
Practice Address - Country:US
Practice Address - Phone:818-245-6466
Practice Address - Fax:818-245-6467
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-04-28
Last Update Date:2012-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)