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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