Organization
PACIFIC RIDE MEDICAL TRANSPORTATION
Active
Organization
PACIFIC RIDE MEDICAL TRANSPORTATION
Active
Other names
PacificRide Medical Transportation
Organization subpart
No
Provider details
NPI number
Authorized official
LEONICA MILLERA CARURUCAN TRANSPORTATION (OWNER/CEO)
(818) 813-4978
Entity
Organization
Contact information
Practice address
14416 VICTORY BLVD STE 239, VAN NUYS, CA 91401-1441
(818) 813-4978
(818) 853-7001
Mailing address
12621 WIXOM ST, NORTH HOLLYWOOD, CA 91605-2146
(818) 813-4978
(818) 853-7001
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
01/10/2025
Last updated
03/11/2025
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