Healthcare Provider Details

I. General information

NPI: 1851204895
Provider Name (Legal Business Name): DIVINE TOUCH MEDICAL TRANSPORTATION LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/22/2026
Last Update Date: 09/22/2026
Certification Date: 09/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9333 BASE LINE RD STE 190
RANCHO CUCAMONGA CA
91730-1300
US

IV. Provider business mailing address

1200 S FIGUEROA ST # W1018
LOS ANGELES CA
90015-1392
US

V. Phone/Fax

Practice location:
  • Phone: 310-867-9702
  • Fax:
Mailing address:
  • Phone: 310-867-9702
  • 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: CELESTINE AMAJOYI
Title or Position: SOLE MEMBER AND MANAGER
Credential:
Phone: 310-867-9702