Provider Demographics
NPI:1003056573
Name:TAYFAM INCORPORATED
Entity Type:Organization
Organization Name:TAYFAM INCORPORATED
Other - Org Name:DOOR TO DOOR TRANSPORTATION
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:MAKIESHA
Authorized Official - Middle Name:JO
Authorized Official - Last Name:FRANKLIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:310-920-7604
Mailing Address - Street 1:1952 W 78TH ST
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90047-2338
Mailing Address - Country:US
Mailing Address - Phone:323-751-5100
Mailing Address - Fax:323-751-5112
Practice Address - Street 1:2405 W FLORENCE AVE
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90043-5104
Practice Address - Country:US
Practice Address - Phone:323-751-5100
Practice Address - Fax:323-751-5112
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-02-24
Last Update Date:2009-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA64650803343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)