Provider Demographics
NPI:1891553582
Name:REGINAL CONSULTING AND MANAGEMENT L.L.C.
Entity type:Organization
Organization Name:REGINAL CONSULTING AND MANAGEMENT L.L.C.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DEITORE
Authorized Official - Middle Name:R
Authorized Official - Last Name:COATES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:916-548-1537
Mailing Address - Street 1:6130 FREEPORT BLVD STE 100F
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95822-3520
Mailing Address - Country:US
Mailing Address - Phone:916-548-1537
Mailing Address - Fax:
Practice Address - Street 1:6130 FREEPORT BLVD STE 100F
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95822-3520
Practice Address - Country:US
Practice Address - Phone:916-548-1537
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-07
Last Update Date:2024-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)