Provider Demographics
NPI:1538540760
Name:ANGEL CAB
Entity type:Organization
Organization Name:ANGEL CAB
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MIGUEL
Authorized Official - Middle Name:ANGEL
Authorized Official - Last Name:IPATZI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:805-824-4999
Mailing Address - Street 1:632 DEVONSHIRE DR
Mailing Address - Street 2:
Mailing Address - City:OXNARD
Mailing Address - State:CA
Mailing Address - Zip Code:93030-4214
Mailing Address - Country:US
Mailing Address - Phone:805-824-4999
Mailing Address - Fax:
Practice Address - Street 1:632 DEVONSHIRE DR
Practice Address - Street 2:
Practice Address - City:OXNARD
Practice Address - State:CA
Practice Address - Zip Code:93030-4214
Practice Address - Country:US
Practice Address - Phone:805-824-4999
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-06-12
Last Update Date:2015-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes344600000XTransportation ServicesTaxi