Provider Demographics
NPI:1992408090
Name:EMMAS RELIABLE TRANSPORTATION LLC
Entity type:Organization
Organization Name:EMMAS RELIABLE TRANSPORTATION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:HECTOR
Authorized Official - Middle Name:MIGUEL
Authorized Official - Last Name:PEREZ SANDOVAL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:909-237-3351
Mailing Address - Street 1:14002 RIDGEWOOD DR
Mailing Address - Street 2:
Mailing Address - City:FONTANA
Mailing Address - State:CA
Mailing Address - Zip Code:92337-8353
Mailing Address - Country:US
Mailing Address - Phone:909-237-3351
Mailing Address - Fax:
Practice Address - Street 1:15441 TOBARRA RD
Practice Address - Street 2:
Practice Address - City:FONTANA
Practice Address - State:CA
Practice Address - Zip Code:92337-9059
Practice Address - Country:US
Practice Address - Phone:909-237-3351
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-27
Last Update Date:2023-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)