Healthcare Provider Details

I. General information

NPI: 1740411081
Provider Name (Legal Business Name): CLASSIC YELLOW CAB
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/04/2009
Last Update Date: 08/04/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

36777 SUNAIR PLZ
CATHEDRAL CITY CA
92234-7608
US

IV. Provider business mailing address

36777 SUNAIR PLZ
CATHEDRAL CITY CA
92234-7608
US

V. Phone/Fax

Practice location:
  • Phone: 760-844-8280
  • Fax: 760-321-8291
Mailing address:
  • Phone: 760-844-8280
  • Fax: 760-321-8291

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code344600000X
TaxonomyTaxi
License Number
License Number State

VIII. Authorized Official

Name: MS. VERONICA WILKINS
Title or Position: ACCOUNT EXECUTIVE
Credential:
Phone: 760-844-8280