Healthcare Provider Details

I. General information

NPI: 1548921752
Provider Name (Legal Business Name): GENTLE RIDE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/10/2022
Last Update Date: 04/17/2025
Certification Date: 04/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

657 S 2ND AVE
COVINA CA
91723-3518
US

IV. Provider business mailing address

657 S 2ND AVE
COVINA CA
91723-3518
US

V. Phone/Fax

Practice location:
  • Phone: 818-500-1100
  • Fax: 626-598-4372
Mailing address:
  • Phone: 818-500-1100
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code341600000X
TaxonomyAmbulance
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number
License Number State

VIII. Authorized Official

Name: MARIA GAVALJYAN
Title or Position: CEO
Credential:
Phone: 818-500-1100