Healthcare Provider Details

I. General information

NPI: 1043023120
Provider Name (Legal Business Name): 369 QUALITY CARE TRANSPORT INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/31/2025
Last Update Date: 01/31/2025
Certification Date: 01/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7840 ABAGAIL RD
JURUPA VALLEY CA
92509-3337
US

IV. Provider business mailing address

7840 ABAGAIL RD
JURUPA VALLEY CA
92509-3337
US

V. Phone/Fax

Practice location:
  • Phone: 714-331-8930
  • Fax:
Mailing address:
  • Phone: 714-331-8930
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code347C00000X
TaxonomyPrivate Vehicle
License Number
License Number State

VIII. Authorized Official

Name: HARPREET JOHAL
Title or Position: OWNER
Credential:
Phone: 714-331-8930