Provider Demographics
NPI:1790544542
Name:ROGERS, ARSHON JR (CEO)
Entity Type:Individual
Prefix:MR
First Name:ARSHON
Middle Name:
Last Name:ROGERS
Suffix:JR
Gender:M
Credentials:CEO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:30450 HAUN RD # 1102
Mailing Address - Street 2:
Mailing Address - City:MENIFEE
Mailing Address - State:CA
Mailing Address - Zip Code:92584-6810
Mailing Address - Country:US
Mailing Address - Phone:951-355-6911
Mailing Address - Fax:
Practice Address - Street 1:30450 HAUN RD # 1102
Practice Address - Street 2:
Practice Address - City:MENIFEE
Practice Address - State:CA
Practice Address - Zip Code:92584-6810
Practice Address - Country:US
Practice Address - Phone:951-355-6911
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-03-14
Last Update Date:2024-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes347C00000XTransportation ServicesPrivate Vehicle