Healthcare Provider Details

I. General information

NPI: 1275859738
Provider Name (Legal Business Name): CABULANCE COMFORT, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/08/2010
Last Update Date: 01/10/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2301 CAMINO RAMON SUITE 150
SAN RAMON CA
94583-4440
US

IV. Provider business mailing address

2301 CAMINO RAMON SUITE 150
SAN RAMON CA
94583-4440
US

V. Phone/Fax

Practice location:
  • Phone: 925-833-7777
  • Fax: 925-309-4692
Mailing address:
  • Phone: 925-833-7777
  • Fax: 925-309-4692

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License NumberC3023964
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License NumberC3023964
License Number StateCA

VIII. Authorized Official

Name: MR. DINYAR MINOO SADRI
Title or Position: CEO
Credential:
Phone: 925-833-7777