Healthcare Provider Details

I. General information

NPI: 1801753603
Provider Name (Legal Business Name): INDEPENDENT LIFE TRANSPORTATION LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/06/2026
Last Update Date: 01/06/2026
Certification Date: 01/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1062 W CITRUS ST
COLTON CA
92324-6809
US

IV. Provider business mailing address

1062 W CITRUS ST
COLTON CA
92324-6809
US

V. Phone/Fax

Practice location:
  • Phone: 909-554-9765
  • Fax:
Mailing address:
  • Phone: 909-554-9765
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code342000000X
TaxonomyTransportation Network Company
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code347E00000X
TaxonomyTransportation Broker
License Number
License Number State

VIII. Authorized Official

Name: MR. ARTHUR CALLES
Title or Position: OWNER
Credential:
Phone: 909-649-6866