MEDICARE: RIDEEZ NEMT MOBILITY LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	343900000X	Non-emergency Medical Transport (VAN)

General Provider Information

NPI Number	:	1275478018
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RIDEEZ NEMT MOBILITY LLC

Provider Business Mailing Address
First Line	:	5550 WILSHIRE BLVD APT 212
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90036-4856
Country	:	US
Telephone Number	:	310-254-8299
Fax Number	:	310-254-8299

Provider Business Practice Location Address
First Line	:	5550 WILSHIRE BLVD APT 212
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90036-4856
Country	:	US
Telephone Number	:	310-254-8299
Fax Number	:	310-254-8299

Authorized Official
Title or Position	:	CEO
Name	:	RAMI COHEN
Credential	:	COHEN
Telephone Number	:	310-254-8299

Provider Enumeration Date	:	04/20/2026
Last Update Date	:	04/20/2026

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