Provider Demographics
NPI:1285393462
Name:RIDE & TRANSPORT
Entity type:Organization
Organization Name:RIDE & TRANSPORT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JULIANA
Authorized Official - Middle Name:O
Authorized Official - Last Name:GOMEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:626-426-4304
Mailing Address - Street 1:212 E ROWLAND ST, SUTE 197 COVINA CA 91723
Mailing Address - Street 2:212 E ROWLAND ST SUITE 197
Mailing Address - City:COVINA
Mailing Address - State:CA
Mailing Address - Zip Code:91723
Mailing Address - Country:US
Mailing Address - Phone:626-426-4304
Mailing Address - Fax:626-364-7481
Practice Address - Street 1:212 E ROWLAND ST, SUTE 197 COVINA CA 91723
Practice Address - Street 2:212 E ROWLAND ST SUITE 197
Practice Address - City:COVINA
Practice Address - State:CA
Practice Address - Zip Code:91723
Practice Address - Country:US
Practice Address - Phone:626-426-4304
Practice Address - Fax:626-364-7481
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-12-15
Last Update Date:2021-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)