Organization
CLOUD 9 MEDICAL TRANSPORT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LARON CHRISTOPHER RANDOLPH JR. (CEO)
(619) 600-9595
Entity
Organization
Contact information
Practice address
6071 GOLD SPIRIT ST, EASTVALE, CA 92880-0989
(951) 536-6573
Mailing address
6071 GOLD SPIRIT ST, EASTVALE, CA 92880-0989
(951) 536-6573
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
06/22/2019
Last updated
06/22/2019
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