Provider Demographics
NPI:1952955262
Name:LUCKY 7 TAXI
Entity Type:Organization
Organization Name:LUCKY 7 TAXI
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:HELDER
Authorized Official - Middle Name:GABRIEL
Authorized Official - Last Name:FREITAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:209-402-4203
Mailing Address - Street 1:4304 GASTONBURY CT
Mailing Address - Street 2:
Mailing Address - City:SALIDA
Mailing Address - State:CA
Mailing Address - Zip Code:95368-9739
Mailing Address - Country:US
Mailing Address - Phone:209-402-4203
Mailing Address - Fax:
Practice Address - Street 1:5225 PENTECOST DR STE 18
Practice Address - Street 2:
Practice Address - City:MODESTO
Practice Address - State:CA
Practice Address - Zip Code:95356-9286
Practice Address - Country:US
Practice Address - Phone:209-402-4203
Practice Address - Fax:209-575-7004
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-07-25
Last Update Date:2019-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes344600000XTransportation ServicesTaxi