Healthcare Provider Details

I. General information

NPI: 1154242014
Provider Name (Legal Business Name): NEW FREEDOM TRANSPORTATION LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/24/2026
Last Update Date: 07/24/2026
Certification Date: 07/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20580 SOUDER ST
PERRIS CA
92570
US

IV. Provider business mailing address

27120 EUCALYPTUS AVE STE G #349
MORENO VALLEY CA
92555-4543
US

V. Phone/Fax

Practice location:
  • Phone: 951-569-5523
  • Fax:
Mailing address:
  • Phone: 951-569-5523
  • 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: CYNTHIA BERUMEN
Title or Position: OWNER
Credential:
Phone: 951-569-5523