Healthcare Provider Details

I. General information

NPI: 1063347193
Provider Name (Legal Business Name): RIDES ON LIENS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/18/2026
Last Update Date: 06/18/2026
Certification Date: 06/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

381 ATLANTICA DR S
MADERA CA
93636-7800
US

IV. Provider business mailing address

8605 SANTA MONICA BLVD # 297467
WEST HOLLYWOOD CA
90069-4109
US

V. Phone/Fax

Practice location:
  • Phone: 844-421-3999
  • Fax:
Mailing address:
  • Phone: 844-421-3999
  • 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: ROBERT L. JENKINS
Title or Position: MANAGER
Credential:
Phone: 619-341-2844