Healthcare Provider Details
I. General information
NPI: 1508693128
Provider Name (Legal Business Name): SF UNITED YELLOW CAB INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 09/17/2024
Last Update Date: 10/04/2024
Certification Date: 10/04/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
860 CAMPUS DR APT 320
DALY CITY CA
94015-4929
US
IV. Provider business mailing address
860 CAMPUS DR APT 320
DALY CITY CA
94015-4929
US
V. Phone/Fax
- Phone: 650-355-8080
- Fax:
- Phone: 415-688-0411
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 343900000X |
| Taxonomy | Non-emergency Medical Transport (VAN) |
| License Number | |
| License Number State | NULL |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 344600000X |
| Taxonomy | Taxi |
| License Number | |
| License Number State | NULL |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 342000000X |
| Taxonomy | Transportation Network Company |
| License Number | |
| License Number State | NULL |
VIII. Authorized Official
Name: MR.
MOHAMED
ALI
MAHDEE
Title or Position: MANAGER
Credential:
Phone: 415-688-0411