Provider Demographics
NPI:1881421923
Name:ANTHONY GAYFIELD
Entity type:Organization
Organization Name:ANTHONY GAYFIELD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:TRANSPORTATION OPERATOR
Authorized Official - Prefix:
Authorized Official - First Name:ANTHONY
Authorized Official - Middle Name:
Authorized Official - Last Name:GAYFIELD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:323-238-7298
Mailing Address - Street 1:618 W VERNON AVE
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90037-2612
Mailing Address - Country:US
Mailing Address - Phone:323-809-7433
Mailing Address - Fax:
Practice Address - Street 1:618 W VERNON AVE
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90037-2612
Practice Address - Country:US
Practice Address - Phone:323-809-7433
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:554190358
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2024-09-13
Last Update Date:2024-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes347C00000XTransportation ServicesPrivate Vehicle