| NPI | 1063587079 |
|---|---|
| Doing Business As | DBA LUCKY MEDICAL TRASPORTATION |
| Entity Type | Organization |
| Authorized Contact | IGOR GRINBERG President 323-651-3295 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) |
| Enumeration Date | 2006-11-22 |
| Last Update Date | 2020-08-22 |