Healthcare Provider Details

I. General information

NPI: 1477484061
Provider Name (Legal Business Name): ADVIK MEDICAL TRANSPORT LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/25/2026
Last Update Date: 05/25/2026
Certification Date: 05/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15026 FAIRHAVEN DR
FONTANA CA
92336-0889
US

IV. Provider business mailing address

15026 FAIRHAVEN DR
FONTANA CA
92336-0889
US

V. Phone/Fax

Practice location:
  • Phone: 840-232-8175
  • Fax:
Mailing address:
  • Phone: 840-232-8175
  • 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: RAMANJEET SANDHAR
Title or Position: CEO
Credential: OWNER
Phone: 840-232-8175