Provider Demographics
NPI:1508543893
Name:ROYAL R. RELIABLE TRANSPORTATION SERVICES LLC
Entity Type:Organization
Organization Name:ROYAL R. RELIABLE TRANSPORTATION SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BRANDON
Authorized Official - Middle Name:K
Authorized Official - Last Name:RAYFORD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:310-254-6401
Mailing Address - Street 1:8191 CALABASH AVE SPC 39
Mailing Address - Street 2:
Mailing Address - City:FONTANA
Mailing Address - State:CA
Mailing Address - Zip Code:92335-0298
Mailing Address - Country:US
Mailing Address - Phone:310-254-6401
Mailing Address - Fax:
Practice Address - Street 1:8191 CALABASH AVE SPC 39
Practice Address - Street 2:
Practice Address - City:FONTANA
Practice Address - State:CA
Practice Address - Zip Code:92335-0298
Practice Address - Country:US
Practice Address - Phone:310-254-6401
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-06-29
Last Update Date:2023-07-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
No342000000XTransportation ServicesTransportation Network Company