Provider Demographics
NPI:1114781903
Name:SOCAL RIDE
Entity Type:Organization
Organization Name:SOCAL RIDE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:SHEREEN & FADYH
Authorized Official - Middle Name:H
Authorized Official - Last Name:ATTIA
Authorized Official - Suffix:
Authorized Official - Credentials:OWNER
Authorized Official - Phone:951-588-4687
Mailing Address - Street 1:39683 RANCHWOOD DR
Mailing Address - Street 2:
Mailing Address - City:MURRIETA
Mailing Address - State:CA
Mailing Address - Zip Code:92563-5310
Mailing Address - Country:US
Mailing Address - Phone:951-588-4687
Mailing Address - Fax:
Practice Address - Street 1:27416 PINYON ST
Practice Address - Street 2:
Practice Address - City:MURRIETA
Practice Address - State:CA
Practice Address - Zip Code:92562-4385
Practice Address - Country:US
Practice Address - Phone:951-588-4687
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-12
Last Update Date:2024-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
No347C00000XTransportation ServicesPrivate Vehicle