Provider Demographics
NPI:1588133672
Name:R & E LLC
Entity type:Organization
Organization Name:R & E LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:ROZA
Authorized Official - Middle Name:
Authorized Official - Last Name:RAFIPOUR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:310-498-2372
Mailing Address - Street 1:3444 EMERALD ST APT 3
Mailing Address - Street 2:
Mailing Address - City:TORRANCE
Mailing Address - State:CA
Mailing Address - Zip Code:90503-3719
Mailing Address - Country:US
Mailing Address - Phone:310-498-2372
Mailing Address - Fax:
Practice Address - Street 1:3444 EMERALD ST APT 3
Practice Address - Street 2:
Practice Address - City:TORRANCE
Practice Address - State:CA
Practice Address - Zip Code:90503-3719
Practice Address - Country:US
Practice Address - Phone:310-498-2372
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:R & E LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2018-11-19
Last Update Date:2018-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)