NPI Code Details Logo

NPI 1750295200

NPI 1750295200 : RELIANT MEDICAL TRANSIT LLC : MECCA, CA

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1750295200
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    RELIANT MEDICAL TRANSIT LLC 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    10/01/2026
-----------------------------------------------------
    Last Update Date     |    10/01/2026
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    91445 7TH ST 
-----------------------------------------------------
    City                 |    MECCA
-----------------------------------------------------
    State                |    CA
-----------------------------------------------------
    Zip                  |    92254-6509
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    442-215-8453
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    91445 7TH ST 
-----------------------------------------------------
    City                 |    MECCA
-----------------------------------------------------
    State                |    CA
-----------------------------------------------------
    Zip                  |    92254-6509
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    442-215-8453
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    NEMT
-----------------------------------------------------
    Name                 |     JUAN A ZAMUDIO 
-----------------------------------------------------
    Credential           |    TYPE  2
-----------------------------------------------------
    Telephone            |    442-215-8453
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    341600000X
-----------------------------------------------------
    Taxonomy Name        |    Ambulance
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    NULL
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.