Healthcare Provider Details

I. General information

NPI: 1649100900
Provider Name (Legal Business Name): TRANSCENDXP LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/20/2026
Last Update Date: 05/23/2026
Certification Date: 05/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

136 S HALCYON RD
ARROYO GRANDE CA
93420-3116
US

IV. Provider business mailing address

839 DIAMOND CIR
ARROYO GRANDE CA
93420-4402
US

V. Phone/Fax

Practice location:
  • Phone: 805-242-2102
  • Fax:
Mailing address:
  • Phone: 818-442-7737
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code246Z00000X
TaxonomyOther Specialist/Technologist
License Number
License Number State

VIII. Authorized Official

Name: JULIE CHRISTINE REID
Title or Position: OWNER
Credential:
Phone: 818-442-7737