Provider Demographics
NPI:1033657879
Name:ANGELES TAXI CAB
Entity Type:Organization
Organization Name:ANGELES TAXI CAB
Other - Org Name:TRANSPORTATION
Other - Org Type:Other Name
Authorized Official - Title/Position:ONWER
Authorized Official - Prefix:MR
Authorized Official - First Name:ABEL
Authorized Official - Middle Name:
Authorized Official - Last Name:LEYVA
Authorized Official - Suffix:
Authorized Official - Credentials:4383
Authorized Official - Phone:909-764-1640
Mailing Address - Street 1:4125 E LIVE OAK AVE
Mailing Address - Street 2:
Mailing Address - City:ARCADIA
Mailing Address - State:CA
Mailing Address - Zip Code:91006-5828
Mailing Address - Country:US
Mailing Address - Phone:909-764-1640
Mailing Address - Fax:
Practice Address - Street 1:4125 E LIVE OAK AVE
Practice Address - Street 2:
Practice Address - City:ARCADIA
Practice Address - State:CA
Practice Address - Zip Code:91006-5828
Practice Address - Country:US
Practice Address - Phone:909-764-1640
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-01-31
Last Update Date:2017-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA344600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes344600000XTransportation ServicesTaxi