Provider Demographics
NPI:1144762832
Name:MEDI-RIDES CA
Entity Type:Organization
Organization Name:MEDI-RIDES CA
Other - Org Name:MEDI-RIDES CA
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:NUZHAT
Authorized Official - Middle Name:FAIQ
Authorized Official - Last Name:BOKHARI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:951-347-4633
Mailing Address - Street 1:19450 EMPTY SADDLE RD
Mailing Address - Street 2:
Mailing Address - City:WALNUT
Mailing Address - State:CA
Mailing Address - Zip Code:91789-4290
Mailing Address - Country:US
Mailing Address - Phone:951-347-4633
Mailing Address - Fax:888-388-1113
Practice Address - Street 1:19450 EMPTY SADDLE RD
Practice Address - Street 2:
Practice Address - City:WALNUT
Practice Address - State:CA
Practice Address - Zip Code:91789-4290
Practice Address - Country:US
Practice Address - Phone:951-347-4633
Practice Address - Fax:888-388-1113
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-11-11
Last Update Date:2016-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)