Provider Demographics
NPI:1740411081
Name:CLASSIC YELLOW CAB
Entity Type:Organization
Organization Name:CLASSIC YELLOW CAB
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ACCOUNT EXECUTIVE
Authorized Official - Prefix:MS
Authorized Official - First Name:VERONICA
Authorized Official - Middle Name:
Authorized Official - Last Name:WILKINS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:760-844-8280
Mailing Address - Street 1:36777 SUNAIR PLZ
Mailing Address - Street 2:
Mailing Address - City:CATHEDRAL CITY
Mailing Address - State:CA
Mailing Address - Zip Code:92234-7608
Mailing Address - Country:US
Mailing Address - Phone:760-844-8280
Mailing Address - Fax:760-321-8291
Practice Address - Street 1:36777 SUNAIR PLZ
Practice Address - Street 2:
Practice Address - City:CATHEDRAL CITY
Practice Address - State:CA
Practice Address - Zip Code:92234-7608
Practice Address - Country:US
Practice Address - Phone:760-844-8280
Practice Address - Fax:760-321-8291
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-08-04
Last Update Date:2009-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
No344600000XTransportation ServicesTaxi