Healthcare Provider Details

I. General information

NPI: 1487964276
Provider Name (Legal Business Name): VALLEY CAB COMPANY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/14/2010
Last Update Date: 10/15/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6320 E THOMAS RD SUITE 308
SCOTTSDALE AZ
85251-7077
US

IV. Provider business mailing address

6320 E THOMAS RD SUITE 308
SCOTTSDALE AZ
85251-7077
US

V. Phone/Fax

Practice location:
  • Phone: 480-635-0911
  • Fax:
Mailing address:
  • Phone: 480-635-0911
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code344600000X
TaxonomyTaxi
License Number4ZG557
License Number StateAZ
# 2
Primary TaxonomyN
Taxonomy Code347C00000X
TaxonomyPrivate Vehicle
License Number4ZG557
License Number StateAZ

VIII. Authorized Official

Name: MR. SAAID NEJAT
Title or Position: GENERAL MANAGER
Credential:
Phone: 480-529-9111