MEDICARE: RIDE2CARE

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	:	1902442254
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RIDE2CARE

Provider Business Mailing Address
First Line	:	6197 UNIVERSITY AVE UNIT 2
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92115-5720
Country	:	US
Telephone Number	:	619-942-3744
Fax Number	:

Provider Business Practice Location Address
First Line	:	6197 UNIVERSITY AVE UNIT 2
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92115-5720
Country	:	US
Telephone Number	:	619-942-3744
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	AMINA MOHAMED MOALIN
Credential	:
Telephone Number	:	619-942-3744

Provider Enumeration Date	:	11/21/2019
Last Update Date	:	11/27/2019

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Directions to “RIDE2CARE ” Practice Location

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