Med Life Inc

Primary specialty

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

Legal business name

MED LIFE INC

Doing business as

Med Life Inc

Practice address

417 Arden Ave # 114a
Glendale, CA 91203-4045

Phone

(818) 987-8113

Fax

(818) 484-3575

NPI assigned

Apr 16, 2018

Organization subpart

No

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

Authorized official

Name

Sevan Tadevosyan

Title

C.E.O.

Phone

(818) 987-8113

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• MED LIFE INC Doing business as

Locations

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

{
    "created_epoch": "1523836800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1630713600000",
    "number": "1407343320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "417 ARDEN AVE # 114A",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912034045",
            "telephone_number": "818-987-8113",
            "fax_number": "818-484-3575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "417 ARDEN AVE # 114A",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912034045",
            "telephone_number": "818-987-8113",
            "fax_number": "818-484-3575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MED LIFE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-16",
        "last_updated": "2021-09-04",
        "certification_date": "2021-09-04",
        "status": "A",
        "authorized_official_last_name": "TADEVOSYAN",
        "authorized_official_first_name": "SEVAN",
        "authorized_official_title_or_position": "C.E.O.",
        "authorized_official_telephone_number": "818-987-8113"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "205JFP58",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "120168078",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MED LIFE INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Non-emergency Medical Transport (VAN) in Glendale, CA
• Providers in Glendale, 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 Sep 4, 2021; 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.