Provider Demographics
NPI:1023330503
Name:RELIANT MEDICAL TRANSPORTATION CORP.
Entity type:Organization
Organization Name:RELIANT MEDICAL TRANSPORTATION CORP.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:CLIFFORD
Authorized Official - Middle Name:R
Authorized Official - Last Name:VILLAFLOR
Authorized Official - Suffix:SR
Authorized Official - Credentials:
Authorized Official - Phone:626-272-2754
Mailing Address - Street 1:536 S. SECOND AVE. STE. D-1
Mailing Address - Street 2:
Mailing Address - City:COVINA
Mailing Address - State:CA
Mailing Address - Zip Code:91723
Mailing Address - Country:US
Mailing Address - Phone:626-964-4292
Mailing Address - Fax:626-236-4146
Practice Address - Street 1:536 S. SECOND AVE.
Practice Address - Street 2:STE. D-1
Practice Address - City:COVINA
Practice Address - State:CA
Practice Address - Zip Code:91723
Practice Address - Country:US
Practice Address - Phone:626-964-4292
Practice Address - Fax:626-236-4146
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:RELIANT MEDICAL TRANS. CORP.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2010-02-24
Last Update Date:2018-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)