1962781724 NPI number — PUWRA

Table of content: (NPI 1962781724)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1962781724 NPI number — PUWRA

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
PUWRA
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:
Provider Other Organization Name Type Code:
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:
1962781724
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/11/2011
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1450 CHAPIN AVE
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
BURLINGAME
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
94010-4062
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
650-348-6603
Provider Business Mailing Address Fax Number:
650-348-0615

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1450 CHAPIN AVENUE
Provider Second Line Business Practice Location Address:
SUITE 1
Provider Business Practice Location Address City Name:
BURLINGAME
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
94010
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
650-348-6603
Provider Business Practice Location Address Fax Number:
650-348-0615
Provider Enumeration Date:
08/11/2011

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
ALLEN
Authorized Official First Name:
ROBERTA
Authorized Official Middle Name:
MARIE
Authorized Official Title or Position:
PUBLIC ASSISTANCE COORDINATOR
Authorized Official Telephone Number:
650-348-6603

Provider Taxonomy Codes

  • Taxonomy code: 320800000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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