Healthcare Provider Details

I. General information

NPI: 1689538415
Provider Name (Legal Business Name): ROLLIN VIP TRANSPORTATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/15/2025
Last Update Date: 12/15/2025
Certification Date: 12/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1630 CENTINELA AVE STE 201
INGLEWOOD CA
90302-6927
US

IV. Provider business mailing address

1853 PEARLAND PKWY
PEARLAND TX
77581-5296
US

V. Phone/Fax

Practice location:
  • Phone: 323-736-7471
  • Fax:
Mailing address:
  • Phone: 832-947-3126
  • Fax: 346-616-1116

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: LETOI SCOTT
Title or Position: OWNER
Credential:
Phone: 832-947-3126