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General NPI Number Information
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NPI Number | 1023330503
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Entity Type | Organization
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Legal Business Name | RELIANT MEDICAL TRANSPORTATION CORP.
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Dates
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Enumeration Date | 02/24/2010
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Last Update Date | 05/21/2018
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Provider Practice Location Address
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Address Line | 536 S. SECOND AVE. STE. D-1
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City | COVINA
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State | CA
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Zip | 91723
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Country | US
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Telephone | 626-964-4292
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Fax | 626-236-4146
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Provider Business Mailing Address
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Address Line | 536 S. SECOND AVE. STE. D-1
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City | COVINA
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State | CA
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Zip | 91723
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Country | US
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Telephone | 626-964-4292
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Fax | 626-236-4146
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. CLIFFORD R VILLAFLOR SR.
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Credential |
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Telephone | 626-272-2754
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 343900000X
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Taxonomy Name | Non-emergency Medical Transport (VAN)
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License Number |
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License Number State |
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