Provider Demographics
NPI:1417738667
Name:QUICK RIDES CA
Entity Type:Organization
Organization Name:QUICK RIDES CA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNERA
Authorized Official - Prefix:
Authorized Official - First Name:JACQUELINE
Authorized Official - Middle Name:L
Authorized Official - Last Name:BUTLER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:650-296-9171
Mailing Address - Street 1:1001 LOCUST DR
Mailing Address - Street 2:
Mailing Address - City:VALLEJO
Mailing Address - State:CA
Mailing Address - Zip Code:94591-4343
Mailing Address - Country:US
Mailing Address - Phone:650-296-9171
Mailing Address - Fax:
Practice Address - Street 1:1001 LOCUST DR
Practice Address - Street 2:
Practice Address - City:VALLEJO
Practice Address - State:CA
Practice Address - Zip Code:94591-4343
Practice Address - Country:US
Practice Address - Phone:650-296-9171
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-12
Last Update Date:2023-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes172A00000XOther Service ProvidersDriverGroup - Single Specialty