Healthcare Provider Details

I. General information

NPI: 1326957127
Provider Name (Legal Business Name): DEONA ACCESS TRANSPORTATION LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/05/2026
Last Update Date: 09/05/2026
Certification Date: 09/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

342 EUCLID AVE STE 406
SAN DIEGO CA
92114-3545
US

IV. Provider business mailing address

342 EUCLID AVE STE 406
SAN DIEGO CA
92114-3545
US

V. Phone/Fax

Practice location:
  • Phone: 619-810-9551
  • Fax:
Mailing address:
  • Phone: 619-810-9551
  • 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: ROMMEL RAY DEONA PERALTA
Title or Position: OWNER
Credential:
Phone: 619-538-7429