Healthcare Provider Details

I. General information

NPI: 1962302513
Provider Name (Legal Business Name): TRINITY TRANSPORT LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/07/2026
Last Update Date: 11/07/2026
Certification Date: 11/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20951 DELPHINE DR
WALNUT CA
91789-2520
US

IV. Provider business mailing address

20951 DELPHINE DR
WALNUT CA
91789-2520
US

V. Phone/Fax

Practice location:
  • Phone: 909-772-2282
  • Fax: 866-363-0389
Mailing address:
  • Phone: 909-772-2282
  • Fax: 866-363-0389

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: MS. KENDRA LOUISE WIGGAN
Title or Position: CEO
Credential:
Phone: 909-772-2282