Provider Demographics
NPI:1710345491
Name:GOLDEN VAN RIDES INC.
Entity Type:Organization
Organization Name:GOLDEN VAN RIDES INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:JOAQUINA
Authorized Official - Middle Name:W
Authorized Official - Last Name:SHINN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:310-930-4313
Mailing Address - Street 1:3920 EAGLE ROCK BLVD
Mailing Address - Street 2:SUITE C
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90065
Mailing Address - Country:US
Mailing Address - Phone:323-474-6070
Mailing Address - Fax:323-474-6066
Practice Address - Street 1:3920 EAGLE ROCK BLVD
Practice Address - Street 2:SUITE C
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90065
Practice Address - Country:US
Practice Address - Phone:323-474-6070
Practice Address - Fax:323-474-6066
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-02-09
Last Update Date:2019-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)