Healthcare Provider Details

I. General information

NPI: 1457879413
Provider Name (Legal Business Name): R & C LOGISTIC SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/30/2017
Last Update Date: 08/30/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14768 BRIANA ST
MORENO VALLEY CA
92553
US

IV. Provider business mailing address

14768 BRIANA ST
MORENO VALLEY CA
92553
US

V. Phone/Fax

Practice location:
  • Phone: 951-335-1864
  • Fax: 951-379-1666
Mailing address:
  • Phone: 951-335-1864
  • Fax: 951-379-1666

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: JOSE DAVID RODRIGUEZ
Title or Position: C.E.O
Credential:
Phone: 951-335-1864