Healthcare Provider Details

I. General information

NPI: 1366692451
Provider Name (Legal Business Name): CARLANE, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/24/2008
Last Update Date: 09/24/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

23430 SUNSET CROSSING RD UNIT B
DIAMOND BAR CA
91765-1341
US

IV. Provider business mailing address

23430 SUNSET CROSSING RD UNIT B
DIAMOND BAR CA
91765-1341
US

V. Phone/Fax

Practice location:
  • Phone: 909-860-2555
  • Fax: 909-860-2555
Mailing address:
  • Phone: 909-860-2555
  • Fax: 909-860-2555

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number3153890
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code347C00000X
TaxonomyPrivate Vehicle
License Number3153890
License Number StateCA

VIII. Authorized Official

Name: MRS. LORRAINE FIGUEROA
Title or Position: PRESIDENT/OWNER
Credential: NONE
Phone: 909-860-2555