Organization
MEDIC RIDE CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARGARITA BETITA DANO (PRESIDENT)
(916) 722-1079
Entity
Organization
Contact information
Practice address
5111 ROLLING FIELD CT, ANTELOPE, CA 95843-4608
(916) 722-1079
(916) 722-1079
Mailing address
5111 ROLLING FIELD CT, ANTELOPE, CA 95843-4608
(916) 722-1079
(916) 722-1079
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
MTN01058F
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MTN01058F
MEDI-CAL PROVIDER NUMBER
CA
Enumeration date
01/19/2007
Last updated
08/22/2020
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