Provider Demographics
NPI:1902413610
Name:CURBSIDE HANDI-TRANSPORT LLC
Entity Type:Organization
Organization Name:CURBSIDE HANDI-TRANSPORT LLC
Other - Org Name:CURBSIDE HANDI-TRANSPORT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:REY
Authorized Official - Middle Name:V
Authorized Official - Last Name:VALIENTE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:858-868-0886
Mailing Address - Street 1:16776 BERNARDO CENTER DR STE 203
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92128-2559
Mailing Address - Country:US
Mailing Address - Phone:858-217-6294
Mailing Address - Fax:
Practice Address - Street 1:16776 BERNARDO CENTER DR STE 203
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92128-2559
Practice Address - Country:US
Practice Address - Phone:858-217-6294
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-09-26
Last Update Date:2021-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)