Healthcare Provider Details

I. General information

NPI: 1700509411
Provider Name (Legal Business Name): RNCD TRANSPORTATION LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/19/2022
Last Update Date: 05/17/2024
Certification Date: 05/17/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6864 INDIANA AVE STE 202I
RIVERSIDE CA
92506-4209
US

IV. Provider business mailing address

6484 NIDEVER AVE
RIVERSIDE CA
92504-1608
US

V. Phone/Fax

Practice location:
  • Phone: 951-224-7684
  • Fax: 877-568-2116
Mailing address:
  • Phone: 951-224-7684
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code172A00000X
TaxonomyDriver
License Number
License Number State

VIII. Authorized Official

Name: JOSE RAMON CRESPO ARANGURE
Title or Position: OWNER/DRIVER
Credential:
Phone: 951-224-7684