LUCKY MEDICAL TRANSPORTATIO INC NPI 1184717415

NPI Information

  • NPI: 1184717415
  • Provider Name: LUCKY MEDICAL TRANSPORTATIO, INC
  • Classification: Non-emergency Medical Transport (VAN) - 343900000X
  • Entity Type: Organization
  • Doing Business As: LUCKY MEDICAL TRANSPORTATION, INC
  • Address: 8230 BEVERLY BLVD
    29
    LOS ANGELES, CA
    ZIP 90048
  • Phone: (323) 651-3295

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NPI Details

LUCKY MEDICAL TRANSPORTATIO, INC is a non emergency medical transport van in Los Angeles, CA. The provider is a land vehicle with a capacity to meet special height, clearance, access, and seating, for the conveyance of persons in non-emergency situations. The vehicle may or may not be required to meet local county or state regulations. LUCKY MEDICAL TRANSPORTATIO, INC NPI is 1184717415. The provider is registered as an organization entity type.
The provider Is Doing Business As Lucky Medical Transportation, Inc.

The provider's business location address is:

8230 BEVERLY BLVD
29
LOS ANGELES, CA
ZIP 90048-528
Phone: (323) 651-3295
Fax: (323) 651-3296

The provider's authorized official is Igor Grinberg .
The authorized official title is President and has the following contact phone number (323) 651-3295.

The enumeration date for this NPI number is 9/30/2006 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1343900000XNon-emergency Medical Transport (VAN)CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1MTN01092FMEDICAIDCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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