Provider Demographics
NPI:1528507431
Name:BIG BEAR CAB COMPANY, INC.
Entity type:Organization
Organization Name:BIG BEAR CAB COMPANY, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:DENISE
Authorized Official - Middle Name:MICHELLE
Authorized Official - Last Name:MAZZOTTI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:909-866-8294
Mailing Address - Street 1:PO BOX 457
Mailing Address - Street 2:790 PINE KNOT
Mailing Address - City:BIG BEAR LAKE
Mailing Address - State:CA
Mailing Address - Zip Code:92315
Mailing Address - Country:US
Mailing Address - Phone:909-866-8294
Mailing Address - Fax:
Practice Address - Street 1:1131 KICKAPOO CT
Practice Address - Street 2:
Practice Address - City:BIG BEAR CITY
Practice Address - State:CA
Practice Address - Zip Code:92314
Practice Address - Country:US
Practice Address - Phone:909-838-7014
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-02-13
Last Update Date:2017-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes344600000XTransportation ServicesTaxi