Provider Demographics
NPI:1811744154
Name:HEALTHRIDE TRANSIT
Entity type:Organization
Organization Name:HEALTHRIDE TRANSIT
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:NIMA
Authorized Official - Middle Name:
Authorized Official - Last Name:ESFANDARMAZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-699-2699
Mailing Address - Street 1:6041 VARIEL AVE APT 735
Mailing Address - Street 2:
Mailing Address - City:WOODLAND HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91367-3874
Mailing Address - Country:US
Mailing Address - Phone:818-699-2699
Mailing Address - Fax:
Practice Address - Street 1:6041 VARIEL AVE APT 735
Practice Address - Street 2:
Practice Address - City:WOODLAND HILLS
Practice Address - State:CA
Practice Address - Zip Code:91367-3874
Practice Address - Country:US
Practice Address - Phone:818-699-2699
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-05-03
Last Update Date:2024-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)