Provider Demographics
NPI:1588092530
Name:OC RIDE TRANSPORTATION SERVICE
Entity type:Organization
Organization Name:OC RIDE TRANSPORTATION SERVICE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JAMAL
Authorized Official - Middle Name:F
Authorized Official - Last Name:ALDOAIFI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:800-760-4989
Mailing Address - Street 1:10870 KALAMA RIVER AVE
Mailing Address - Street 2:
Mailing Address - City:FOUNTAIN VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:92708-6003
Mailing Address - Country:US
Mailing Address - Phone:800-760-4989
Mailing Address - Fax:888-715-0427
Practice Address - Street 1:10870 KALAMA RIVER AVE
Practice Address - Street 2:
Practice Address - City:FOUNTAIN VALLEY
Practice Address - State:CA
Practice Address - Zip Code:92708-6003
Practice Address - Country:US
Practice Address - Phone:800-760-4989
Practice Address - Fax:888-715-0427
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-10-29
Last Update Date:2013-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343800000XTransportation ServicesSecured Medical Transport (VAN)