Healthcare Provider Details

I. General information

NPI: 1114846623
Provider Name (Legal Business Name): DRIVE MY VEHICLE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/10/2026
Last Update Date: 07/10/2026
Certification Date: 07/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3628 LYNOAK DR STE 104
CLAREMONT CA
91711-3243
US

IV. Provider business mailing address

3628 LYNOAK DR STE 104
CLAREMONT CA
91711-3243
US

V. Phone/Fax

Practice location:
  • Phone: 415-533-7220
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State

VIII. Authorized Official

Name: DONIYOR KHUSHVAKTOV
Title or Position: MANAGER
Credential:
Phone: 415-533-7220