Organization
ADVANCE ACCESS RIDE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NURU ADEM NURU (OWNER)
(714) 585-5310
Entity
Organization
Contact information
Practice address
13668 HEATHERWOOD DR, CORONA, CA 92880-0712
(714) 585-5310
Mailing address
13668 HEATHERWOOD DR, CORONA, CA 92880-0712
(714) 585-5310
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
TCP27004
CA
Other
Enumeration date
06/28/2013
Last updated
06/28/2013
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