Provider Demographics
NPI:1336991751
Name:LP RELIABLE TRANSPORTATION
Entity Type:Organization
Organization Name:LP RELIABLE TRANSPORTATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CNA
Authorized Official - Prefix:
Authorized Official - First Name:PEDRO
Authorized Official - Middle Name:
Authorized Official - Last Name:VERA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:562-686-0335
Mailing Address - Street 1:12648 BERENDA ST
Mailing Address - Street 2:
Mailing Address - City:VICTORVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:92394-9552
Mailing Address - Country:US
Mailing Address - Phone:909-343-9853
Mailing Address - Fax:
Practice Address - Street 1:12648 BERENDA ST
Practice Address - Street 2:
Practice Address - City:VICTORVILLE
Practice Address - State:CA
Practice Address - Zip Code:92394-9552
Practice Address - Country:US
Practice Address - Phone:909-343-9853
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-02
Last Update Date:2024-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)