Provider Demographics
NPI:1801450697
Name:WEALTH TAXI INC
Entity type:Organization
Organization Name:WEALTH TAXI INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:MOORE
Authorized Official - Middle Name:
Authorized Official - Last Name:GREENBERG
Authorized Official - Suffix:
Authorized Official - Credentials:MPH
Authorized Official - Phone:213-418-2030
Mailing Address - Street 1:5404 WHITSETT AVE
Mailing Address - Street 2:
Mailing Address - City:VALLEY VILLAGE
Mailing Address - State:CA
Mailing Address - Zip Code:91607-1615
Mailing Address - Country:US
Mailing Address - Phone:213-418-0203
Mailing Address - Fax:
Practice Address - Street 1:28803 COLINA VISTA ST
Practice Address - Street 2:
Practice Address - City:AGOURA HILLS
Practice Address - State:CA
Practice Address - Zip Code:91301-1722
Practice Address - Country:US
Practice Address - Phone:213-418-2030
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-04-26
Last Update Date:2019-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies