Organization
RAIDEN RIDES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA MCCLURE (OFFICE MANAGER)
(626) 260-5710
Entity
Organization
Contact information
Practice address
2657 E WASHINGTON BLVD, PASADENA, CA 91107-1412
(626) 394-9571
Mailing address
2657 E WASHINGTON BLVD, PASADENA, CA 91107-1412
(626) 394-9571
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
10/24/2019
Last updated
10/24/2019
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