Healthcare Provider Details

I. General information

NPI: 1023920709
Provider Name (Legal Business Name): COMMUNITY ELITE TRANSPORTATION INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/18/2026
Last Update Date: 09/18/2026
Certification Date: 09/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

400 CORPORATE POINTE STE 300
CULVER CITY CA
90230-7620
US

IV. Provider business mailing address

400 CORPORATE POINTE STE 300
CULVER CITY CA
90230-7620
US

V. Phone/Fax

Practice location:
  • Phone: 863-873-6216
  • Fax:
Mailing address:
  • Phone: 863-873-6216
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: DR DAPHNE WASHINGTON
Title or Position: CEO
Credential:
Phone: 863-873-6216