Organization
IDPELEKTIVZ
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAY BENARD (OWNER)
(562) 477-3217
Entity
Organization
Contact information
Practice address
7950 ETIWANDA AVE APT 12208, RANCHO CUCAMONGA, CA 91739-8716
(714) 208-5804
Mailing address
7950 ETIWANDA AVE APT 12208, RANCHO CUCAMONGA, CA 91739-8716
(714) 208-5804
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
01/14/2026
Last updated
01/14/2026
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