1669686127 NPI number — UNION OF PAN ASIAN COMMUNITIES

Table of content: (NPI 1669686127)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1669686127 NPI number — UNION OF PAN ASIAN COMMUNITIES

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
UNION OF PAN ASIAN COMMUNITIES
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
UPAC COUNSELING & TREATMENT CENTER MIDCITY
Provider Other Organization Name Type Code:
5
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1669686127
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
01/19/2024
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1031 25TH ST
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
SAN DIEGO
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
92102-2102
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
619-232-6454
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
7830 CLAIREMONT MESA BLVD
Provider Second Line Business Practice Location Address:
SUITE 100, 207, 209
Provider Business Practice Location Address City Name:
SAN DIEGO
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
92111
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
619-229-2999
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
05/10/2007

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
PENROSE
Authorized Official First Name:
MARGARET
Authorized Official Middle Name:
IWANAGA
Authorized Official Title or Position:
PRESIDENT CEO
Authorized Official Telephone Number:
619-232-6454

Provider Taxonomy Codes

  • Taxonomy code: 251S00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: CH345A . This is a "MEDICARE PROVIDER TRANSACTION ACCESS NUMBER" identifier , issued by the state of ( CA ) . This identifiers is of the category "OTHER".