Healthcare Provider Details

I. General information

NPI: 1891605630
Provider Name (Legal Business Name): RAJSHRI RIDERS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/11/2026
Last Update Date: 09/11/2026
Certification Date: 09/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1919 WILLIAMS ST STE 310
SIMI VALLEY CA
93065-7842
US

IV. Provider business mailing address

10387 SICILIAN DR
RANCHO CUCAMONGA CA
91730-0301
US

V. Phone/Fax

Practice location:
  • Phone: 818-489-2719
  • Fax:
Mailing address:
  • Phone:
  • 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: VIMAL SHETA
Title or Position: CEO
Credential:
Phone: 909-714-5936