Provider Demographics
NPI:1508423559
Name:UNITED INDEPENDENT TAXI DRIVERS, INC.
Entity Type:Organization
Organization Name:UNITED INDEPENDENT TAXI DRIVERS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDNET
Authorized Official - Prefix:
Authorized Official - First Name:MOHAMMED
Authorized Official - Middle Name:
Authorized Official - Last Name:POURRASTEGAR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:213-483-7669
Mailing Address - Street 1:900 N ALVARADO ST
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90026-3105
Mailing Address - Country:US
Mailing Address - Phone:213-483-7669
Mailing Address - Fax:213-483-7664
Practice Address - Street 1:900 N ALVARADO ST
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90026-3105
Practice Address - Country:US
Practice Address - Phone:213-483-7669
Practice Address - Fax:213-483-7664
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-05-24
Last Update Date:2019-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)