Organization
RIDE CALI LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LYLE HERSCHEL DEVORE (OWNER)
(909) 338-3471
Entity
Organization
Contact information
Practice address
817 W SHERWOOD BLVD, BIG BEAR CITY, CA 92314-9362
(909) 338-3471
Mailing address
PRO BOX 2160, 817 WEST SHERWOOD BLVD, BIG BEAR CITY, CA 92314
(900) 338-3471
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
01/21/2020
Last updated
01/21/2020
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