Organization
JOHNRE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHNNY SICAT (PRESIDENT)
(951) 780-5348
Entity
Organization
Contact information
Practice address
16162 PONDEROSA LN, RIVERSIDE, CA 92504-6155
(951) 318-7352
(951) 658-5263
Mailing address
16162 PONDEROSA LN, RIVERSIDE, CA 92504-6155
(951) 318-7352
(951) 658-5263
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
07/20/2010
Last updated
07/20/2010
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