Healthcare Provider Details

I. General information

NPI: 1699690966
Provider Name (Legal Business Name): HEALTHCARE-TRANSPORT INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/13/2026
Last Update Date: 08/13/2026
Certification Date: 08/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14298 ST ANDREWS DR STE 4
VICTORVILLE CA
92395-4367
US

IV. Provider business mailing address

14298 ST ANDREWS DR STE 4
VICTORVILLE CA
92395-4367
US

V. Phone/Fax

Practice location:
  • Phone: 760-985-7765
  • Fax:
Mailing address:
  • Phone: 760-985-7765
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: TANDY LUV CORRALES
Title or Position: OWNER
Credential:
Phone: 760-221-2421