Provider Demographics
NPI:1992999221
Name:DESERT COMMUNITY TRANSPORTATION SERVICES LLC
Entity type:Organization
Organization Name:DESERT COMMUNITY TRANSPORTATION SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:RAMON
Authorized Official - Middle Name:A
Authorized Official - Last Name:LOMELI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:760-362-3735
Mailing Address - Street 1:PO BOX 776
Mailing Address - Street 2:
Mailing Address - City:JOSHUA TREE
Mailing Address - State:CA
Mailing Address - Zip Code:92252-0776
Mailing Address - Country:US
Mailing Address - Phone:760-362-3735
Mailing Address - Fax:
Practice Address - Street 1:58923 BUSINESS CENTER DR STE I
Practice Address - Street 2:
Practice Address - City:YUCCA VALLEY
Practice Address - State:CA
Practice Address - Zip Code:92284-7311
Practice Address - Country:US
Practice Address - Phone:760-362-3735
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-29
Last Update Date:2016-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA02650343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)