Provider Demographics
NPI:1215791538
Name:CITY LIFE TRANSPORT, LLC
Entity type:Organization
Organization Name:CITY LIFE TRANSPORT, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CARL
Authorized Official - Middle Name:C
Authorized Official - Last Name:SYYAP
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:562-388-4450
Mailing Address - Street 1:3605 LONG BEACH BLVD.
Mailing Address - Street 2:SUITE 233C
Mailing Address - City:LONG BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90807
Mailing Address - Country:US
Mailing Address - Phone:562-388-4450
Mailing Address - Fax:
Practice Address - Street 1:3605 LONG BEACH BLVD.
Practice Address - Street 2:SUITE 233C
Practice Address - City:LONG BEACH
Practice Address - State:CA
Practice Address - Zip Code:90807
Practice Address - Country:US
Practice Address - Phone:562-388-4450
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-07
Last Update Date:2024-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport