Lucky Medical Trasportation Inc

Primary specialty

Non-emergency Medical Transport (VAN)Taxonomy code 343900000X

Legal business name

LUCKY MEDICAL TRASPORTATION INC

Doing business as

DBA Lucky Medical Trasportation

Practice address

8230 Beverly Blvd
Suite 29
Los Angeles, CA 90048-4528

Phone

(323) 651-3295

Fax

(323) 651-3296

NPI assigned

Nov 22, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Igor Grinberg

Title

President

Phone

(323) 651-3295

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• DBA Lucky Medical Trasportation Doing business as

Tax ID family

Dba Lucky Medical Trasportation2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Lucky Medical Transportatio, Inc

  • Non-emergency Medical Transport (VAN)
  • Los Angeles, CA
  • NPI 1184717415
  NPD tax ID

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1164153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1063587079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8230 BEVERLY BLVD",
            "address_2": "SUITE 29",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900484528",
            "telephone_number": "323-651-3295",
            "fax_number": "323-651-3296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8230 BEVERLY BLVD",
            "address_2": "SUITE 29",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900484528",
            "telephone_number": "323-651-3295",
            "fax_number": "323-651-3296"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUCKY MEDICAL TRASPORTATION INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GRINBERG",
        "authorized_official_first_name": "IGOR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "323-651-3295",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "MTN01092F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DBA Lucky Medical Trasportation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kanitha Luckanavanich
• Steven Luckett
• Dominique Lanelle Luckey, M.D.
• Lucky Diagnostic,Inc
• Lucky Medical Transportatio, Inc
• Lora Luczywo, IBCLC
• John K Ludington, P.A. - C
• Mazie Ludlow
• Sara Ludlow, M.D.
• Ludmila B. Bess, MD a Professional Corporation

• Non-emergency Medical Transport (VAN) in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Non-emergency Medical Transport (VAN) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.