Provider Demographics
NPI:1629403498
Name:A.S.A.P. PATIENT RIDE, LLC
Entity Type:Organization
Organization Name:A.S.A.P. PATIENT RIDE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:ALIREZA
Authorized Official - Middle Name:
Authorized Official - Last Name:REZAMAND
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:626-485-8044
Mailing Address - Street 1:12 POPPYGLEN CT
Mailing Address - Street 2:
Mailing Address - City:AZUSA
Mailing Address - State:CA
Mailing Address - Zip Code:91702-6282
Mailing Address - Country:US
Mailing Address - Phone:626-485-8044
Mailing Address - Fax:626-969-7096
Practice Address - Street 1:12 POPPYGLEN CT
Practice Address - Street 2:
Practice Address - City:AZUSA
Practice Address - State:CA
Practice Address - Zip Code:91702-6282
Practice Address - Country:US
Practice Address - Phone:626-485-8044
Practice Address - Fax:626-969-7096
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-09-11
Last Update Date:2013-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)