1538130893 NPI number — EL PROYECTO DEL BARRIO, INC

Table of content: (NPI 1538130893)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1538130893 NPI number — EL PROYECTO DEL BARRIO, INC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
EL PROYECTO DEL BARRIO, INC
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:
EL PROYECTO DEL BARRIO CENTER FOR A HEALTHY COMMUNITY
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:
1538130893
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
07/01/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
20800 SHERMAN WAY
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
WINNETKA
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
91306-2707
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
818-883-2273
Provider Business Mailing Address Fax Number:
818-347-4257

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
20800 SHERMAN WAY
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
WINNETKA
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
91306-2707
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
818-883-2273
Provider Business Practice Location Address Fax Number:
818-347-4257
Provider Enumeration Date:
01/26/2006

Additional Information

Authorized Official

Authorized Official Last Name:
SANCHEZ
Authorized Official First Name:
CORINNE
Authorized Official Middle Name:
Authorized Official Title or Position:
PRESIDENT CEO
Authorized Official Telephone Number:
818-830-7133

Provider Taxonomy Codes

  • Taxonomy code: 261QF0400X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: HAP70769F . This is a "FAM PLANNING" identifier , issued by the state of ( CA ) . This identifiers is of the category "OTHER".
  • Identifier: FHC70769F , issued by the state of ( CA ) . This identifiers is of the category "MEDICAID".
  • Identifier: BCP70769F . This is a "BREAST/CERVICAL CANCER PR" identifier , issued by the state of ( CA ) . This identifiers is of the category "OTHER".




Copyright © 2007-2024 www.npivalidator.com