Provider Demographics
NPI:1285163832
Name:YELLOW CAB OF WALNUT CREEK AND CONTRA COSTA, INC.
Entity type:Organization
Organization Name:YELLOW CAB OF WALNUT CREEK AND CONTRA COSTA, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:MIKE
Authorized Official - Middle Name:
Authorized Official - Last Name:SHINN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:925-934-1234
Mailing Address - Street 1:1517 2ND AVE
Mailing Address - Street 2:
Mailing Address - City:WALNUT CREEK
Mailing Address - State:CA
Mailing Address - Zip Code:94597-2622
Mailing Address - Country:US
Mailing Address - Phone:925-934-1234
Mailing Address - Fax:925-934-6540
Practice Address - Street 1:1517 2ND AVE
Practice Address - Street 2:
Practice Address - City:WALNUT CREEK
Practice Address - State:CA
Practice Address - Zip Code:94597-2622
Practice Address - Country:US
Practice Address - Phone:925-934-1234
Practice Address - Fax:925-934-6540
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-06-07
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes344600000XTransportation ServicesTaxi